Organization
RALSTON REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STRICKLAND RALSTON OTR/L (OWNER)
(770) 654-0667
Entity
Organization
Contact information
Practice address
1732 VALLEY RD NE, GAINESVILLE, GA 30501-1222
(770) 654-0667
Mailing address
1732 VALLEY RD NE, GAINESVILLE, GA 30501-1222
(770) 654-0667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003484
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT003484
STATE LICENSE
GA
Enumeration date
03/18/2013
Last updated
03/18/2013
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