Provider Demographics
NPI:1720159122
Name:ACCESS THERAPY, INC
Entity Type:Organization
Organization Name:ACCESS THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MALOUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CABATO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:770-495-8946
Mailing Address - Street 1:7620 WENTWORTH DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1610
Mailing Address - Country:US
Mailing Address - Phone:770-495-8946
Mailing Address - Fax:770-783-1053
Practice Address - Street 1:4310 JOHNS CREEK PKWY
Practice Address - Street 2:100
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6091
Practice Address - Country:US
Practice Address - Phone:770-814-2900
Practice Address - Fax:770-783-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT003492225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty