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STEVE EARLES LMT

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

Registrant NPI Number: 1871898676

Individual Registrant:
 STEVE  EARLES LMT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1514 PIEDMONT LAKE ROAD  PINE MOUNTAIN, GA 31822 US
Tel: 706-663-4770  Fax: --

Contact information for business:
1514 PIEDMONT LAKE ROAD  PINE MOUNTAIN, GA 31822 US
Tel: 706-663-4770  Fax: --

Registration Information:
NPI: 1871898676
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Sports
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
GAGAMT#000004

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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