Medi Home Therapy LLC

NPI #1831491463 in Conyers, Georgia

Provider Information

NPI Number
1831491463
Entity Type
Organization
Organization Name
Medi Home Therapy LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDI CAREGIVERS
Primary Specialty
Physical Therapist
Enumeration Date
Dec 2, 2010
Last Updated
Dec 3, 2010

Practice Location

Address
1257 COMMERCIAL DR SW STE B
State
Georgia
ZIP Code
30094-5991
Phone
(770) 483-6393

Authorized Official

Name
JESSICA LANE
Title
ADMINISTRATOR
Phone
(770) 483-6393

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Social Worker - ClinicalClinical
Physical Therapist

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