Organization
INTOWN PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA A DINET (OCCUPATIONAL THERAPIST)
(678) 458-8762
Entity
Organization
Contact information
Practice address
1110 LOS ANGELES AVE NE, ATLANTA, GA 30306-3515
(678) 458-8762
(404) 607-7206
Mailing address
1110 LOS ANGELES AVE NE, ATLANTA, GA 30306-3515
(678) 458-8762
(404) 607-7206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003476
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000936911B
—
GA
Enumeration date
06/19/2014
Last updated
06/19/2014
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