PROCARE THERAPY SERVICES INC.
Speech Language Pathology at 42 St, Tifton, GA

License number
Georgia SLP004574
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: MR. SHANKAR NARAYAN VISWANATHA SLP
Title: PRESIDENT
Phone: (229) 392-3663
Address
Address
607 42Nd St E, Tifton, GA 31794
National Provider ID: 1336238245
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PROCARE THERAPY SERVICES, INC

Tifton, GA

Industry:
Services-Misc
Registration:
Oct 21, 2003
Addresses:
607, Tifton, GA 31794 (Physical)
607 42 St E, Tifton, GA 31794
State ID:
0357280
Business type:
Domestic Profit Corporation
CEO, President, Principal, Speech Therapists:
Kavitha Manur (Secretary), 607, Tifton, GA 31794 (Physical),Shankar Viswanatha (CEO, President, Principal, Speech Therapist), 607, Tifton, GA 31794 (Physical)

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