Pediatric Therapies of SE Ga, LLC

NPI #1710346267 in Kingsland, Georgia

Provider Information

NPI Number
1710346267
Entity Type
Organization
Organization Name
Pediatric Therapies of SE Ga, LLC
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
Feb 12, 2016
Last Updated
Feb 3, 2017

Practice Location

Address
1204 HOSPITALITY AVE
Address 2
SUITE E
State
Georgia
ZIP Code
31548-6810
Phone
(912) 996-2069

Authorized Official

Name
KAREN MICHELLE PARKS
Title
OWNER/OPERATOR/PROVIDER
Phone
(912) 996-2069

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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