PEACH STATE PEDIATRIC THERAPY INC. NPI 1073630992

NPI Information

PEACH STATE PEDIATRIC THERAPY INC. is a specialist in Lawrenceville, GA. The provider is 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. PEACH STATE PEDIATRIC THERAPY INC. NPI is 1073630992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

457 AUTUMN PARK TRCE
LAWRENCEVILLE, GA
ZIP 30044-421
Phone: (678) 524-3451
Fax: (770) 921-7380

The provider's authorized official is Margaret Ann Kuneyl .
The authorized official title is Ceo and has the following contact phone number (678) 524-3451.

The enumeration date for this NPI number is 3/24/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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