Organization
ATLANTA KIDS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRALI SHAH OTR/L (OWNER)
(440) 665-7965
Entity
Organization
Contact information
Practice address
300 VILLAGE GREEN CIR SE STE 201A, SMYRNA, GA 30080-3476
(440) 665-7965
Mailing address
1843 SHENLEY PARK LN, DULUTH, GA 30097-4922
(440) 665-7965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003233229A
—
GA
Enumeration date
06/22/2021
Last updated
03/25/2026
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