Healthcare Provider Details

I. General information

NPI: 1063667970
Provider Name (Legal Business Name): TENDER ONES THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2008
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1854 AUBURN RD STE 101
DACULA GA
30019-1130
US

IV. Provider business mailing address

1854 AUBURN RD STE 101
DACULA GA
30019-1130
US

V. Phone/Fax

Practice location:
  • Phone: 770-904-6009
  • Fax: 770-904-2357
Mailing address:
  • Phone: 770-904-6009
  • Fax: 770-904-2357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: NOREEN VICTORIA ZULAICA
Title or Position: PRESIDENT
Credential: PT
Phone: 770-904-6009