Organization
ABC PEDIATRIC THERAPY PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA BILBAO CANUP BS, MA (SPEECH LANGUAGE PATHOLOGIST)
(706) 372-4349
Entity
Organization
Contact information
Practice address
1175 OGLETHORPE AVE, SUITE B, ATHENS, GA 30606-2129
(706) 372-4349
(404) 393-3862
Mailing address
1175 OGLETHORPE AVE, SUITE B, ATHENS, GA 30606-2129
(706) 372-4349
(404) 393-3862
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000931873C
—
GA
Enumeration date
10/06/2014
Last updated
10/06/2014
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