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Bridge The Gap Therapy

Speech-Language Pathologist, in Woodstock, GA. Organization (NPI-2).

NPI number1699345470
StatusActive
Last updated in NPPESDec 2, 2024

Details

NPI
1699345470
Entity type
Organization (NPI-2)
Legal business name
Bridge The Gap Therapy
Organization subpart
No
Enumeration date
Jun 25, 2021
Certification date
Dec 2, 2024
Last updated
Dec 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

10917 Highway 92 Ste 130140
Woodstock, GA 30188-6329

Phone 678-447-1617 · Fax 678-735-7505

Mailing address

10917 Highway 92 Ste 130&140
Woodstock, GA 30188-6329

Phone 678-447-1617

Other practice locations

3217 S Cherokee Ln Ste 710
Woodstock, GA 30188-7053

Phone 678-447-1617 · Fax 678-735-7505

Authorized official

Lauren Marie Peet
Owner
6784471617

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Other Speech-Language Pathologist providers in Woodstock, GA

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