Provider Demographics
NPI:1477891661
Name:ATLANTA HAND THERAPY LLC
Entity Type:Organization
Organization Name:ATLANTA HAND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIRALKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-333-7888
Mailing Address - Street 1:3968 FELTON HILL RD SW
Mailing Address - Street 2:SUITE100
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-3512
Mailing Address - Country:US
Mailing Address - Phone:770-333-7888
Mailing Address - Fax:
Practice Address - Street 1:792 CHURCH ST NE
Practice Address - Street 2:SUITE 104
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-8954
Practice Address - Country:US
Practice Address - Phone:678-214-6960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOTOO2372225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty