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General NPI Number Information
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NPI Number | 1740091065
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Entity Type | Organization
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Legal Business Name | CONNECTED THERAPY SOLUTIONS OF GEORGIA, LLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 5554 KINGS TREE PASS NW
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City | ACWORTH
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State | GA
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Zip | 30101-8081
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Country | US
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Telephone | 607-760-1851
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Fax | 866-573-0779
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Provider Business Mailing Address
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Address Line | 5554 KINGS TREE PASS NW
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City | ACWORTH
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State | GA
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Zip | 30101-8081
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Country | US
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Telephone | 607-760-1851
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Fax | 866-673-0779
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | REGINA SITTERLEY
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Credential |
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Telephone | 607-760-1851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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