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RUSSELL MARLOWE

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1437542057

Individual Registrant:
 RUSSELL  MARLOWE 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1321 WASHINGTON HWY  UNION POINT, GA 30669-2821 US
Tel: 706-207-8185  Fax: --

Contact information for business:
PO BOX 801  WATKINSVILLE, GA 30677-0018 US
Tel: 706-207-8185  Fax: --

Registration Information:
NPI: 1437542057
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
GAPTA003301

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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