4inkc, LLC

NPI #1942856638 in Ellenwood, Georgia

Provider Information

NPI Number: 1942856638
Entity Type: Organization
Organization Name: 4inkc, LLC
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Aug 17, 2019
Last Updated: Aug 17, 2019

Practice Location

Address: 145 HUNTCLIFF TRL
City: Ellenwood
State: Georgia
ZIP Code: 30294-2597
Phone: (310) 210-2291

Authorized Official

Name: KIMBERLY REDD
Title: OWNER
Phone: (310) 210-2291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X	Primary

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