Aspire Pediatric Therapy of Georgia, LLC

NPI #1639301567 in Braselton, Georgia

Provider Information

NPI Number
1639301567
Entity Type
Organization
Organization Name
Aspire Pediatric Therapy of Georgia, LLC
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
Aug 11, 2009
Last Updated
Aug 11, 2009

Practice Location

Address
5745 OLD WINDER HWY
Address 2
SUITE C
State
Georgia
ZIP Code
30517-1636
Phone
(770) 965-1861

Authorized Official

Name
MRS. MARGARET T VAN BUREN, OTR/L, ATP, SIPT
Title
EXECUTIVE DIRECTOR
Phone
(770) 965-1861

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist
Occupational Therapist - PediatricsPediatrics

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