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ZOEY THEA FORRESTER

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1922580042

Individual Registrant:
 ZOEY THEA FORRESTER 
Gender: F
Sole Proprietor

Location and contact information for practice:
711 W RIDGEWAY RD  MAYSVILLE, GA 30558-5819 US
Tel: 706-983-9130  Fax: --

Contact information for business:
711 W RIDGEWAY RD  MAYSVILLE, GA 30558-5819 US
Tel: 706-983-9130  Fax: --

Registration Information:
NPI: 1922580042
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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