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General NPI Number Information
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NPI Number | 1932868494
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Entity Type | Organization
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Legal Business Name | DREAM POWER THERAPY, INC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 17081 GA HIGHWAY 85 W
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City | SHILOH
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State | GA
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Zip | 31826-2805
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Country | US
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Telephone | 470-208-1202
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Fax |
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Provider Business Mailing Address
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Address Line | 17081 GA HIGHWAY 85 W
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City | SHILOH
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State | GA
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Zip | 31826-2805
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Country | US
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Telephone | 470-208-1202
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. EDITH REGINA MCCUTCHEN
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Credential | CPS-MH,AD, CARES
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Telephone | 470-208-1202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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