Organization
ADVANCE FOR KIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JOHNSEN PT (OWNER)
(912) 510-6104
Entity
Organization
Contact information
Practice address
70 LINDSEY LN, SAINT MARYS, GA 31558-1635
(912) 510-6104
(912) 882-6137
Mailing address
PO BOX 5610, SAINT MARYS, GA 31558-5610
(912) 510-6104
(912) 882-6137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/22/2007
Last updated
03/04/2025
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