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RUSSELL MARLOWE
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1437542057
Individual Registrant: RUSSELL MARLOWE
Gender: M
Not Sole Proprietor
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: --
Tel: 706-207-8185 Fax: --
Contact information for business:
PO BOX 801 WATKINSVILLE, GA 30677-0018 US
Tel: 706-207-8185 Fax: --
Tel: 706-207-8185 Fax: --
Registration Information:
NPI: 1437542057
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | GA | PTA003301 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
