Organization
PEDIATRIC THERAPIES OF SE GA, LLC
Active
Organization
PEDIATRIC THERAPIES OF SE GA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MICHELLE PARKS (OWNER/OPERATOR/PROVIDER)
(912) 996-2069
Entity
Organization
Contact information
Practice address
1204 HOSPITALITY AVE, SUITE E, KINGSLAND, GA 31548-6810
(912) 996-2069
(912) 265-0041
Mailing address
5200 SAN JOSE BLVD, UNIT 7, JACKSONVILLE, FL 32207-1905
(912) 996-2069
(912) 265-0041
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT001375
GA
Other
Enumeration date
02/12/2016
Last updated
02/03/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up