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NPI 1477964013

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

More GA providers

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.

PT Four Kids LLC — NPI 1477964013, Marietta, GA | NPI Central