Organization
SPEECH THEREPEZE
Active
Other names
PROGRESSIVE THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIKA ROBINSON PT (OWNER)
(404) 328-0055
Entity
Organization
Contact information
Practice address
5784 FAIRINGTON FARMS CT, LITHONIA, GA 30038-1551
(404) 328-0055
(404) 328-1008
Mailing address
5784 FAIRINGTON FARMS CT, LITHONIA, GA 30038-1551
(404) 328-0055
(404) 328-1008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10034815
AMERIGROUP
GA
05
—
440163644A
—
GA
01
—
440163644D
PEACHTATE
GA
Enumeration date
12/18/2008
Last updated
12/18/2008
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