Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI Number | 1326396136 |
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| LBN Legal business name | NORTH GEORGIA HAND THERAPY, LLC | ||||
| Authorized official | AMY WALLACE - (DIRECTOR, PROVIDER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/28/2012 | ||||
| Last updated | 04/27/2015 - About 11 years ago | ||||
| Identifiers |
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