OrganizationActive
Functional Therapy Services
NPI 1336681667 · Early Intervention Provider Agency · Austell, GA
Provider details
- NPI number
- 1336681667
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Claire Harvey, Ceo(803) 609-1395
- License
- 006157 (GA)
Specialties & taxonomies
Agencies
Practice location
947 Peel Castle Ln
Austell, GA 30106-1467
Phone: (803) 609-1395
Approximate (ZIP-level) locationGet directions
Mailing address
947 Peel Castle Ln
Austell, GA 30106-1467
Registry dates
- Enumerated
- 2016-11-17
- Last updated
- 2016-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.