Organization
TOTS, INC.
Active
Other names
Kiddos' Clubhouse
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT RUSSELL DEVORE MS, OTR/L (OWNER)
(678) 527-3224
Entity
Organization
Contact information
Practice address
11539 PARK WOODS CIR, SUITE 502, ALPHARETTA, GA 30005-4413
(678) 527-3224
(678) 366-5886
Mailing address
11539 PARK WOODS CIR STE 502, ALPHARETTA, GA 30005-2413
(678) 527-3224
(678) 366-5886
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
OT002774
GA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300035746A
—
GA
Enumeration date
04/04/2006
Last updated
03/17/2026
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