=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124496724
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL-AROUND THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/13/2015
-----------------------------------------------------
Last Update Date | 07/08/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 830 GLENWOOD AVE SE STE 510-347
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30316-1966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-355-6776
-----------------------------------------------------
Fax | 770-234-5822
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 830 GLENWOOD AVE SE STE 510-347
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30316-1966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-355-6776
-----------------------------------------------------
Fax | 770-234-5822
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RACHEL HOSEMANN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 770-355-6776
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 4740
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------