Pediatric Therapy Partners Of Wga | |
121b Lee St, Carrollton, GA 30117-3314 | |
(770) 830-8622 | |
(770) 832-9031 |
Full Name | Pediatric Therapy Partners Of Wga |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 121b Lee St, Carrollton, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568697613 | NPI | - | NPPES |
239574509D | Medicaid | GA | |
000609045E | Medicaid | GA | |
000675276E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | PT007533 (Georgia) | Secondary |
225X00000X | Occupational Therapist | OT001282 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Pediatric Therapy Partners Of Wga 121b Lee St, Carrollton, GA 30117-3314 Ph: (770) 830-8622 | Pediatric Therapy Partners Of Wga 121b Lee St, Carrollton, GA 30117-3314 Ph: (770) 830-8622 |
Mrs. Christina Mckenzie, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2455 Oak Grove Church Rd, Carrollton, GA 30117 Phone: 770-834-1737 | |
Adreana Beaumont, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2455 Oak Grove Church Rd, Carrollton, GA 30117 Phone: 770-834-1737 | |
Mrs. Tina Pratt, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-830-9517 Fax: 770-830-5957 | |
Mr. Evan Drew Brooks, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 | |
Alicia Mccall, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-830-9517 Fax: 770-830-5957 | |
Emma Lewis Harrell, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1124 N Park St Ste M, Carrollton, GA 30117 Phone: 770-834-0873 Fax: 770-834-6118 | |
Mr. Jonathan David Cook, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-214-7323 |