Peach State Pediatric Therapy Inc.

NPI 1073630992 - Specialist - 174400000X

NPI Details
NPI 1073630992
Enumeration Date 03/24/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARGARET ANN MARGARET
Position CEO
Phone (678) 524-3451
Fax (770) 921-7380
Practice Location
457 AUTUMN PARK TRCE
LAWRENCEVILLE GA, 30044-7421, US
Phone (678) 524-3451
Fax (770) 921-7380
Business Location
457 AUTUMN PARK TRCE
LAWRENCEVILLE GA, 30044-7421, US
Phone (678) 524-3451
Fax (770) 921-7380
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number OT002948
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According to our database, Peach State Pediatric Therapy Inc. NPI is 1073630992, taxonomy code is 174400000X and license number is OT002948, license state is located at Georgia. Peach State Pediatric Therapy Inc. physically located at 457 Autumn Park Trce, Lawrenceville GA, 30044-7421. NPI Number 1033115704 has the healthcare provider type.

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1073630992 NPI number is provided on an as is basis without warranty of any kind. 1073630992 is maintained by the National Plan & Provider Enumeration System. The contents of Peach State Pediatric Therapy Inc. are for informational purposes only.