Organization
PROTHERAPY INC
Active
Organization
PROTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELENA JORDAN OTR (PRESIDENT)
(770) 277-3945
Entity
Organization
Contact information
Practice address
976 REDSTONE RD, DACULA, GA 30019-7415
(770) 995-2345
(678) 392-4401
Mailing address
976 REDSTONE RD, DACULA, GA 30019-7415
(770) 995-2345
(678) 392-4401
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003698
GA
Other
Enumeration date
11/11/2006
Last updated
08/22/2020
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