A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
GA license #PT009627taxonomy 2251P0200X
Identifiers
Type
Value
Notes
05 (GA)
003108614C
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
LEAP Pediatric Therapy Services
Type code 3recorded 2015-04-16
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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