Organization
GEORGIA THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LACY LEE GARDNER-HATTAWAY OTD, OTR/L, C/NDT (PRESIDENT)
(478) 986-8527
Entity
Organization
Contact information
Practice address
922 GA HIGHWAY 18 W, GRAY, GA 31032-3734
(478) 986-8527
Mailing address
922 GA HIGHWAY 18 W, GRAY, GA 31032-3734
(478) 986-8527
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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