OrganizationActive
Activekidz and Adult Therapy Services
NPI 1194571760 · Pediatric Rehabilitation Medicine Physician · Calhoun, GA
Provider details
- NPI number
- 1194571760
- Entity type
- Organization
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Cook, Owner(770) 207-6390
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1114 S Wall St
Calhoun, GA 30701-3062
Phone: (706) 624-3000
Approximate (ZIP-level) locationGet directions
Mailing address
1431 Capital Ave Ste 123
Watkinsville, GA 30677-1883
Registry dates
- Enumerated
- 2024-04-25
- Last updated
- 2024-04-25
- Certified
- 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.