| Aspire Pediatric Therapy Of Georgia, Llc | |
|
5745 Old Winder Hwy, Suite C, Braselton, GA 30517-1636 | |
| (770) 965-1861 | |
| (770) 965-1863 |
| Full Name | Aspire Pediatric Therapy Of Georgia, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 5745 Old Winder Hwy, Braselton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639301567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | OT004005 (Georgia) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Pediatric Therapy Of Georgia, Llc 5745 Old Winder Hwy, Suite C, Braselton, GA 30517-1636 Ph: (770) 965-1861 | Aspire Pediatric Therapy Of Georgia, Llc 5745 Old Winder Hwy, Suite C, Braselton, GA 30517-1636 Ph: (770) 965-1861 |
Melissa Newkam Clark, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5745 Old Winder Hwy Ste C, Braselton, GA 30517 Phone: 770-965-1861 | |
Margaret Therese Payne, OTR/L,SIPT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 Zion Church Rd, Braselton, GA 30517 Phone: 770-965-1861 Fax: 678-866-6076 | |
Melissa Hanna, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2095 Highway 211 Nw, Braselton, GA 30517 Phone: 770-207-6390 | |
Lonnie Roy Guinn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1362 Loowit Falls Way, Braselton, GA 30517 Phone: 770-842-7131 |