Activekidz and Adult Therapy Services

NPI #1720500010 in Braselton, Georgia

Provider Information

NPI Number: 1720500010
Entity Type: Organization
Organization Name: Activekidz and Adult Therapy Services
Primary Specialty: Physical Therapist
Enumeration Date: Jul 9, 2017
Last Updated: Oct 30, 2020

Practice Location

Address: 1247 TUSCANY DRIVE
Address 2: SUITE C
City: Braselton
State: Georgia
ZIP Code: 30517-3402
Phone: (770) 207-6390

Authorized Official

Name: MRS. SUSAN COOK, PT
Title: OWNER
Phone: (770) 207-6390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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