| Diverse Therapy Inc | |
|
6740 James B Rivers Dr, Stone Mountain, GA 30083-2235 | |
| (678) 250-3250 | |
| (470) 375-8754 |
| Full Name | Diverse Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 6740 James B Rivers Dr, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700285178 | NPI | - | NPPES |
| 451911248G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Diverse Therapy Inc 6740 James B Rivers Dr, Stone Mountain, GA 30083-2235 Ph: (678) 250-3250 | Diverse Therapy Inc 6740 James B Rivers Dr, Stone Mountain, GA 30083-2235 Ph: (678) 250-3250 |
Miss Sharla M Palmer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2155 W Park Ct, Suite G/ H, Stone Mountain, GA 30087 Phone: 770-465-5084 | |
Michelle Tomlinson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6740 James B Rivers Dr, Stone Mountain, GA 30083 Phone: 678-250-3250 | |
Mrs. Melanie D Earles, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2155 W Park Ct, Suite G/h, Stone Mountain, GA 30087 Phone: 770-465-5084 Fax: 770-465-5304 | |
Mrs. Jerolyn N Redstrom, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2155 W Park Ct, Suite G/ H, Stone Mountain, GA 30087 Phone: 770-465-5084 | |
Ms. Elise Leona Livesey, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5408 Park Cir, Stone Mountain, GA 30083 Phone: 147-023-4755 | |
Mr. Gabriel James Hawkins, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Springhouse Cir, Stone Mountain, GA 30087 Phone: 678-684-3870 | |
Raeanne Elizabeth Gialanella, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5839 Memorial Drive, Stone Mountain, GA 30083 Phone: 678-679-1800 |