Organization
FOCUS THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE WYNTER MS, OTR/L (OCCUPATIONAL THERAPIST)
(770) 819-7690
Entity
Organization
Contact information
Practice address
810 RILEY ESTATES DR, LITHIA SPRINGS, GA 30122-2194
(770) 819-7690
(770) 819-7907
Mailing address
810 RILEY ESTATES DR, LITHIA SPRINGS, GA 30122-2194
(770) 819-7690
(770) 819-7907
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
OT002648
GA
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225X00000X
—
GA
Enumeration date
03/05/2013
Last updated
03/05/2013
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