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Peach State Pediatric Therapy Inc.
Specialist in Lawrenceville, Georgia
NPI 1073630992

Peach State Pediatric Therapy Inc. is a Specialist based in Lawrenceville, GA. Peach State Pediatric Therapy Inc. practices in Lawrenceville, GA. The NPI Number for Peach State Pediatric Therapy Inc. is 1073630992 and holds a License No. OT002948 (Georgia).

The current practice location address for Peach State Pediatric Therapy Inc. is 457 Autumn Park Trce, Lawrenceville, GA and can be reached out via phone at 678-524-3451 and via fax at 770-921-7380.

Location: 457 Autumn Park Trce, Lawrenceville, GA, 30044-7421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073630992
Provider Name
Peach State Pediatric Therapy Inc.
Credential
Provider Entity Type
Organization
Address
457 Autumn Park Trce, Lawrenceville, GA, 30044-7421
Phone Number
678-524-3451
Fax Number
770-921-7380
Provider Enumeration Date
03/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
457 Autumn Park Trce
City
Lawrenceville
State
Georgia
Zip
30044-7421
Phone Number
678-524-3451
Fax Number
770-921-7380
person
Provider Business Mailing Address Details
Address
457 Autumn Park Trce
City
Lawrenceville
State
Georgia
Zip
30044-7421
Phone Number
678-524-3451
Fax Number
770-921-7380
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OT002948 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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