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

Pediatric Therapies of SE Ga, LLC

Organization Pediatric Occupational Therapist · NPI 1710346267

Pediatric Therapies of SE Ga, LLC is a Pediatric Occupational Therapist in Kingsland, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1204 Hospitality Ave Ste E
Kingsland, GA 31548-6810
Phone: (912) 996-2069
Fax: (912) 265-0041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT001375 (GA)

Record details

NPI number1710346267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Parks — Owner/Operator/Provider · (912) 996-2069
NPI enumeratedFebruary 12, 2016
Last updated in NPPESFebruary 3, 2017
Mailing address5200 San Jose Blvd, Unit 7, Jacksonville, FL 32207-1905

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