Whalio Doctors

NPI 1356760318

Specialized Therapy Solutions, LLC

Organisation Exclusive Provider Organization Marietta, GA

Practice location

Address
1494 Hampton View CT, Marietta, GA 30008-4094
Phone
(404) 502-7997
Fax
(404) 566-6080

Authorised official

Name
Shanika McClain Queeman
Title
Occupational Therapist
Phone
(404) 502-7997

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X Licence OT004369 (GA)

Registry record

NPI
1356760318
Entity type
Organization
NPI issued
7 Apr 2014
Record last updated
1 Apr 2015

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.