OrganizationActive
PT Four Kids LLC
NPI 1477964013 · Early Intervention Provider Agency · Marietta, GA
Provider details
- NPI number
- 1477964013
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Authorized official
- Susan Mayne, Owner
- License
- PT002955 (GA)
Practice location
4458 Windsor Oaks Cir
Marietta, GA 30066-2320
Phone: (404) 509-9761
Fax: (678) 981-6336
Mailing address
4458 Windsor Oaks Cir
Marietta, GA 30066-2320
Registry dates
- Enumerated
- 2014-05-16
- Last updated
- 2014-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.