Organization Name: | ASPIRE PEDIATRIC THERAPY OF GEORGIA, LLC |
NPI Number: | 1639301567 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET T VAN BUREN (EXECUTIVE DIRECTOR) |
Mailing Address: | 5745 Old Winder Hwy Suite C Braselton |
State: | GA US |
Postal Code: | 305171636 |
Phone Number: | 7709651861 |
Fax Number: | 7709651863 |
NPI Enumeration Date: | 08/11/2009 |
NPI Last Update Date: | 08/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |