Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peach State Pediatric Therapy Inc

Organization Specialist · NPI 1073630992

Peach State Pediatric Therapy Inc is a Specialist in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

457 Autumn Park Trce
Lawrenceville, GA 30044-7421
Phone: (678) 524-3451
Fax: (770) 921-7380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OT002948 (GA)

Record details

NPI number1073630992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaret Kuneyl — Ceo · (678) 524-3451
NPI enumeratedMarch 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing address457 Autumn Park Trce, Lawrenceville, GA 30044-7421

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