Healthcare Provider Details

I. General information

NPI: 1205756947
Provider Name (Legal Business Name): OSMON PEDIATRIC THERAPY AND WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3195 BUFORD HWY STE 5&9
DULUTH GA
30096-5707
US

IV. Provider business mailing address

4015 LONGLAKE DR
DULUTH GA
30097-2220
US

V. Phone/Fax

Practice location:
  • Phone: 678-467-3289
  • Fax:
Mailing address:
  • Phone: 678-467-3289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RABIA SHAHBAZ
Title or Position: DIRECTOR
Credential: PHD
Phone: 678-467-3289