Organization
SPECIAL NEEDS PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE HOELL PT (OWNER)
(678) 714-6708
Entity
Organization
Contact information
Practice address
4411 SUWANEE DAM RD, SUITE 455, SUWANEE, GA 30024-8701
(678) 714-6708
(770) 456-5224
Mailing address
4411 SUWANEE DAM RD, SUITE 455, SUWANEE, GA 30024-8701
(678) 714-6708
(770) 456-5224
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
001565
GA
2251P0200X
Pediatric Physical Therapist
Primary
004301
GA
225XP0200X
Pediatric Occupational Therapist
001582
GA
225XP0200X
Pediatric Occupational Therapist
002798
GA
225XP0200X
Pediatric Occupational Therapist
003562
GA
225XP0200X
Pediatric Occupational Therapist
004017
GA
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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