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Organization

GEORGIA THERAPY SERVICES, LLC

Active
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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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