Healthcare Provider Details

I. General information

NPI: 1326615410
Provider Name (Legal Business Name): ATLANTA ONE STOP THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8770 GLASGOW POINTE
DULUTH GA
30097-6606
US

IV. Provider business mailing address

8770 GLASGOW POINTE
DULUTH GA
30097-6606
US

V. Phone/Fax

Practice location:
  • Phone: 440-497-8499
  • Fax:
Mailing address:
  • Phone: 440-497-8499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RITU BUDHRAJA
Title or Position: PEDIATRIC OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 440-497-8499