Healthcare Provider Details
I. General information
NPI: 1811457831
Provider Name (Legal Business Name): APPARO ACADEMY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2019
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3104 SKINNER MILL RD
AUGUSTA GA
30909-1968
US
IV. Provider business mailing address
3104 SKINNER MILL RD
AUGUSTA GA
30909-1968
US
V. Phone/Fax
- Phone: 706-522-4222
- Fax: 706-256-8054
- Phone: 706-522-4222
- Fax: 706-256-8054
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JENNIFER
JONES
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 706-522-4222