OrganizationActive
Activekidz and Adult Therapy Services
NPI 1093561656 · Pediatric Rehabilitation Medicine Physician · Tyrone, GA
Provider details
- NPI number
- 1093561656
- Entity type
- Organization
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Susan Cook, Owner
Mailing address
1431 Capital Ave Ste 123
Watkinsville, GA 30677-1883
Registry dates
- Enumerated
- 2024-04-25
- Last updated
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.