NPI 1295738540

Children & Adult Therapy Services

Organisation Rehabilitation Practitioner Monroe, GA

Practice location

Address: 226 Alcovy St STE G-1, Monroe, GA 30655-2183
Phone: (770) 207-9043
Fax: (770) 207-9029

Authorised official

Name: Ruth Ellen Roberts
Title: Owner
Phone: (770) 207-9043

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 116745 (GA)

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Registry record

NPI: 1295738540
Entity type: Organization
NPI issued: 31 May 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.