Wonder Therapeutic Services LLC

NPI #1356067219 in Flowery Branch, Georgia

Provider Information

NPI Number: 1356067219
Entity Type: Organization
Organization Name: Wonder Therapeutic Services LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 12, 2022
Last Updated: Jul 26, 2023

Practice Location

Address: 4875 HOG MOUNTAIN RD STE B
City: Flowery Branch
State: Georgia
ZIP Code: 30542-6450
Phone: (404) 406-8272

Authorized Official

Name: TARA B FEDDERN, OTR/L
Title: CEO
Phone: (678) 960-3063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X	Primary

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