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MASON MORIAH EARP PT, DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1629556717

Individual Registrant:
 MASON MORIAH EARP PT, DPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2065 GRAYSON HWY STE B  GRAYSON, GA 30017 US
Tel: 678-376-0213  Fax: 678-376-0215

Contact information for business:
6397 LEE HWY STE 300  CHATTANOOGA, TN 37421-2564 US
Tel: 423-238-7217  Fax: 423-362-8684

Registration Information:
NPI: 1629556717
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
GAPT013570

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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