Tsg Dacula

NPI #1912339425 in Dacula, Georgia

Provider Information

NPI Number
1912339425
Entity Type
Organization
Organization Name
Tsg Dacula
Subpart
Yes (part of a larger organization)
Parent Organization
THERAPY SOLUTIONS OF GEORGIA, INC.
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 7, 2013
Last Updated
Aug 7, 2013

Practice Location

Address
3615 BRASELTON HWY
Address 2
SUITE 103
City
Dacula
State
Georgia
ZIP Code
30019-5906
Phone
(678) 377-9634

Authorized Official

Name
CHRISTOPHER MICHAEL BALL
Title
EXECUTIVE DIRECTOR
Phone
(678) 377-9634

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist

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