Organization
SIMPLE ESSENTIAL THERAPY SERVICE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZETTA TORREY'S BRAZILE OTR/L (OCCUPATIONAL THERAPIST)
(404) 667-5158
Entity
Organization
Contact information
Practice address
91 BARRINGTON FARMS PKWY, SHARPSBURG, GA 30277-1853
(404) 667-5158
Mailing address
91 BARRINGTON FARMS PKWY, SHARPSBURG, GA 30277-1853
(404) 667-5158
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2440
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI1346673464
NPI INDIVIDUAL NUMBER
GA
Enumeration date
04/08/2014
Last updated
04/08/2014
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