Organization
PEDIATRIC THERAPY SERVICES NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN H JOHNSON (DIRECTOR)
(770) 995-2345
Entity
Organization
Contact information
Practice address
976 REDSTONE RD, DACULA, GA 30019-7415
(770) 995-2345
(678) 392-4401
Mailing address
976 REDSTONE RD, DACULA, GA 30019-7415
(770) 995-2345
(678) 392-4401
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/03/2006
Last updated
09/11/2025
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