Peach State Pediatric Therapy Inc.
NPI #1073630992 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1073630992
- Entity Type
- Organization
- Organization Name
- Peach State Pediatric Therapy Inc.
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 457 AUTUMN PARK TRCE
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30044-7421
- Phone
- (678) 524-3451
Authorized Official
- Name
- MRS. MARGARET ANN KUNEYL, OT
- Title
- CEO
- Phone
- (678) 524-3451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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