Provider Demographics
NPI:1932868494
Name:DREAM POWER THERAPY, INC
Entity type:Organization
Organization Name:DREAM POWER THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:MCCUTCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPS-MH,AD, CARES
Authorized Official - Phone:470-208-1202
Mailing Address - Street 1:17081 GA HIGHWAY 85 W
Mailing Address - Street 2:
Mailing Address - City:SHILOH
Mailing Address - State:GA
Mailing Address - Zip Code:31826-2805
Mailing Address - Country:US
Mailing Address - Phone:470-208-1202
Mailing Address - Fax:
Practice Address - Street 1:17081 GA HIGHWAY 85 W
Practice Address - Street 2:
Practice Address - City:SHILOH
Practice Address - State:GA
Practice Address - Zip Code:31826-2805
Practice Address - Country:US
Practice Address - Phone:470-208-1202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty