Organization
LIVING WELL TELETHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HENNING (SLP)
(678) 313-2002
Entity
Organization
Contact information
Practice address
1850 KERRY CREEK DR, MARIETTA, GA 30066-4365
(678) 313-2002
Mailing address
1850 KERRY CREEK DR, MARIETTA, GA 30066-4365
(678) 313-2002
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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