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Organization

BRAMLETT REHABILITATION SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROBIN BRAMLETT M.ED. (SPEECH-LANGUAGE PATHOLOGIST)
(770) 630-4852
Entity
Organization

Contact information

Practice address
1509 AMBERSTAPP STUDDARD RD, SOCIAL CIRCLE, GA 30025-4401
(770) 630-4852
(770) 464-1462
Mailing address
1509 AMBERSTAPP STUDDARD RD, SOCIAL CIRCLE, GA 30025-4401
(770) 630-4852
(770) 464-1462

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT003268
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP005098
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000936977B
GA
05
000938176A
GA
Enumeration date
02/24/2011
Last updated
02/24/2011
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