Activekidz And Adult Therapy Services
Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine in Calhoun, GA. Organization (NPI-2).
NPI number1194571760
StatusActive
Last updated in NPPESApr 25, 2024
Details
- NPI
- 1194571760
- Entity type
- Organization (NPI-2)
- Legal business name
- Activekidz And Adult Therapy Services
- Organization subpart
- No
- Enumeration date
- Apr 25, 2024
- Certification date
- Apr 25, 2024
- Last updated
- Apr 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P0010X | Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | – | – | Yes |
Practice location
1114 S Wall StCalhoun, GA 30701-3062
Phone 706-624-3000
Mailing address
1431 Capital Ave Ste 123Watkinsville, GA 30677-1883
Authorized official
Susan Gerald Cook
Owner
7702076390
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