Organization
INTERACTIV CHILDREN'S THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG P MULVANY (GENERAL MANAGER / OWNER)
(770) 683-0250
Entity
Organization
Contact information
Practice address
2959 SHARPSBURG MCCULLUM RD, BUILDING C, SUITE C, NEWNAN, GA 30265-2297
(770) 683-0250
(770) 683-4250
Mailing address
2959 SHARPSBURG MCCULLUM RD, BUILDING C, SUITE C, NEWNAN, GA 30265-2297
(770) 683-0250
(770) 683-4250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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