Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Feb 21, 2007
License(s)
004600 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 304 PALM CLUB CIR | Brunswick, GA 31525-2050 | 912-399-3034 |
| LOCATION | 2415 PARKWOOD DR | Brunswick, GA 31520-4722 | 912-466-2660 |
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