Organization
KIDZTHERAPY NETWORKS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY PANAGOPOULOS (COO)
(770) 205-5551
Entity
Organization
Contact information
Practice address
5975 PARKWAY NORTH BLVD, SUITE 300B, CUMMING, GA 30040-1226
(770) 205-5551
Mailing address
5975 PARKWAY NORTH BLVD, SUITE 300B, CUMMING, GA 30040-1226
(770) 205-5551
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
OT003813
GA
235Z00000X
Speech-Language Pathologist
SLP005951
GA
Other
Enumeration date
02/28/2007
Last updated
06/17/2008
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