Healthcare Provider Details

I. General information

NPI: 1306917877
Provider Name (Legal Business Name): CHILDREN'S THERAPY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 WATER PL SE SUITE 230
ATLANTA GA
30339-2061
US

IV. Provider business mailing address

1800 WATER PL SE SUITE 230
ATLANTA GA
30339-2061
US

V. Phone/Fax

Practice location:
  • Phone: 770-980-9373
  • Fax: 770-980-0104
Mailing address:
  • Phone: 770-980-9373
  • Fax: 770-980-0104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateGA

VIII. Authorized Official

Name: MRS. JULIA STEWART MOTE
Title or Position: DIRECTOR
Credential: PT
Phone: 770-980-9373