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Kidz Rock Therapy Services, LLC

Occupational Therapist in Douglasville, GA. Organization (NPI-2).

NPI number1457747321
StatusActive
Last updated in NPPESApr 8, 2015

Details

NPI
1457747321
Entity type
Organization (NPI-2)
Legal business name
Kidz Rock Therapy Services, LLC
Organization subpart
No
Enumeration date
Apr 8, 2015
Last updated
Apr 8, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT003067GAYes

Practice location

6732 West Spring Street
Douglasville, GA 30134

Phone 404-229-2919 · Fax 770-672-6832

Mailing address

Po Box 5548
Douglasville, GA 30154-0010

Phone 404-229-2919 · Fax 770-672-6832

Authorized official

Denise Battles
Occupational Therapist
4042292919

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