Organization
INTERNATIONAL THERAPY NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYANA MORALES M.S. CCC-SLP (CEO)
(770) 464-6254
Entity
Organization
Contact information
Practice address
4116 PRESTON POINTE WAY, CUMMING, GA 30041-6145
(770) 464-6254
Mailing address
PO BOX 2241, SUWANEE, GA 30024-0063
(770) 464-6254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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