Organization · Type 2 NPI

Peach State Pediatric Therapy Inc.

Specialist · Lawrenceville, GA

NPI number 1073630992 Active

Practice location

457 Autumn Park Trce
Lawrenceville, GA 30044-7421

Call (678) 524-3451 Map

Fax (770) 921-7380

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOT002948 (GA)

Specialist: 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.

2 other providers at this address

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About NPI 1073630992

Peach State Pediatric Therapy Inc.'s National Provider Identifier is 1073630992, issued on Mar 24, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lawrenceville, GA. The record was last updated on Aug 22, 2020.