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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEDIATRIC THERAPIES OF SE GA, LLC

Active Organization

PEDIATRIC THERAPIES OF SE GA, LLC is a Pediatric Occupational Therapist organization located in BRUNSWICK, Georgia. NPI 1841577111 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · BRUNSWICK, GA

Registration Details

NPI Number
1841577111
Provider Type
Organization
NPI Issued
Nov 14, 2011 (14.761637961196 yrs)
Last Updated
Jun 19, 2019
Licenses
SLP001592 (GA)
OT005680 (GA)
OT002198 (GA)
OT001375 (GA)

Practice Information

Address
4212 CORAL PARK DR
BRUNSWICK, GA, 315203016
Browse GA providers · Browse ZIP 31520
Phone
9123428875
Fax
9122650041
Primary Specialty
Pediatric Occupational Therapist
225XP0200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.