ROGERS BRIDGE PEDIATRIC THERAPY, LLC
NPI 1053839456
Clinic/Center - Hearing and Speech in Duluth, GA
- Organization
- Clinic/Center
- Hearing and Speech
About ROGERS BRIDGE PEDIATRIC THERAPY, LLC
This page provides the complete NPI Profile along with additional information for Rogers Bridge Pediatric Therapy, Llc, a provider established in Duluth, Georgia operating as a Clinic/center, focusing in hearing and speech . The healthcare provider is registered in the NPI registry with number 1053839456 assigned on September 2017. The practitioner's primary taxonomy code is 261QH0700X with license number SLP007707 (GA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jessie Nelson Willis Ccc-slp (Owner)
- NPI
- 1053839456 Verify this NPI
- Provider Name
- ROGERS BRIDGE PEDIATRIC THERAPY, LLC
- Entity Type
- Organization
- Location Address
- 2845 SUMMERCREST LN DULUTH, GA 30096
- Location Phone
- (478) 454-8889
- Location Fax
- (678) 280-6766
- Mailing Address
- 2845 SUMMERCREST LN DULUTH, GA 30096
- Mailing Phone
- (478) 454-8889
- Mailing Fax
- (678) 280-6766
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-06-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Hearing and Speech
- Taxonomy Code
- 261QH0700X
- Type
- Ambulatory Health Care Facilities
- License No.
- SLP007707
- License State
- GA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053839456, enumerated as an "organization" on September 06, 2017.
The provider is located at 2845 SUMMERCREST LN DULUTH, GA 30096 and the phone number is (478) 454-8889.
Clinic/Center with taxonomy code 261QH0700X and a focus in Hearing and Speech.
