Ebbys LLC
Speech-Language Pathologist, in Mableton, GA. Organization (NPI-2).
NPI number1336798396
StatusActive
Last updated in NPPESSep 11, 2019
Details
- NPI
- 1336798396
- Entity type
- Organization (NPI-2)
- Legal business name
- Ebbys LLC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2019
- Last updated
- Sep 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
5312 Vinings Springs PtMableton, GA 30126-5997
Phone 404-414-7788
Mailing address
5312 Vinings Springs PtMableton, GA 30126-5997
Phone 404-414-7788
Authorized official
Chris Simmons
Owner
4044147788
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