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NPI Code Detail

MEDICARE: CHILDREN & ADULT THERAPY SERVICES

MEDICARE: CHILDREN & ADULT THERAPY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner116745GA

General Provider Information

NPI Number : 1295738540
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN & ADULT THERAPY SERVICES
Provider Business Mailing Address
First Line : 226 ALCOVY ST
Second Line : STE G-1
City : MONROE
State : GA
Zip : 30655-2183
Country : US
Telephone Number : 770-207-9043
Fax Number : 770-207-9029
Provider Business Practice Location Address
First Line : 226 ALCOVY ST
Second Line : STE G-1
City : MONROE
State : GA
Zip : 30655-2183
Country : US
Telephone Number : 770-207-9043
Fax Number : 770-207-9029
Authorized Official
Title or Position : OWNER
Name : RUTH ELLEN ROBERTS
Credential : SLP
Telephone Number : 770-207-9043
Provider Enumeration Date : 05/31/2005
Last Update Date : 08/22/2020

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Directions to “CHILDREN & ADULT THERAPY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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