Organization
DIVERSE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE A TOMLINSON OTD, OTR/L (OCCUPATIONAL THERAPIST)
(678) 250-3250
Entity
Organization
Contact information
Practice address
6740 JAMES B RIVERS DR, STONE MOUNTAIN, GA 30083-2235
(678) 250-3250
(470) 375-8754
Mailing address
6740 JAMES B RIVERS DR, STONE MOUNTAIN, GA 30083-2235
(678) 250-3250
(470) 375-8754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451911248G
—
GA
Enumeration date
08/21/2014
Last updated
08/21/2014
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