Organization Name: | CHILDRENS THERAPY CENTER |
NPI Number: | 1669536728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WHITNEY DIEBOLT (OCCUPATIONAL THERAPIST) |
Mailing Address: | 1500 Oglethorpe Ave Suite 500 D Athens |
State: | GA US |
Postal Code: | 306062179 |
Phone Number: | 7063533575 |
Fax Number: | 7063531606 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OT004397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |