Organization
THERAPY FORWARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANGENIQUE TAYLOR OTR/L, CLT (OWNER)
(205) 643-0988
Entity
Organization
Contact information
Practice address
700 MARIETTA ST NW, ATLANTA, GA 30318-5726
(205) 643-0988
Mailing address
PO BOX 190341, ATLANTA, GA 31119-0341
(205) 643-0988
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005635
GA
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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