Provider Demographics
NPI:1760565139
Name:RIBBIT THERAPY SERVICES
Entity Type:Organization
Organization Name:RIBBIT THERAPY SERVICES
Other - Org Name:RIBBIT THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHAJUANDA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:678-910-9375
Mailing Address - Street 1:1656 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-1745
Mailing Address - Country:US
Mailing Address - Phone:770-961-5809
Mailing Address - Fax:770-961-6492
Practice Address - Street 1:1656 NORTHRIDGE DR
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1745
Practice Address - Country:US
Practice Address - Phone:770-961-5809
Practice Address - Fax:770-961-6492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-21
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT000756225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty