Organization · NPI-2

Activekidz And Adult Therapy Services

Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine · Rome, GA

NPI number1720834302
StatusActive
Last updated in NPPESApr 25, 2024

Details

NPI
1720834302
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 codeDescriptionLicenseStatePrimary
2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine––Yes

Practice location

212 W 3rd St Sw
Rome, GA 30165-2802

Phone 706-295-4260

Mailing address

1431 Capital Ave Ste 123
Watkinsville, GA 30677-1883

Authorized official

Susan Gerald Cook
Owner
7702076390

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine providers in Rome, GA