Organization
TRAPEZE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLYNN CORLEY KENNA MS OTR/L (OCCUPATIONAL THERAPIST / DIRECTOR)
(706) 340-3481
Entity
Organization
Contact information
Practice address
160 TRACY ST, SUITE A, ATHENS, GA 30601-1979
(706) 340-3481
Mailing address
1141 THORNWOOD DR, WATKINSVILLE, GA 30677-5342
(706) 340-3481
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
05/15/2012
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