Individual
MRS. MARISA G HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1204 HOSPITALITY AVE STE E, KINGSLAND, GA 31548-6811
(912) 996-2069
(912) 265-0041
Mailing address
133 REGAL RD, BRUNSWICK, GA 31523-6281
(229) 886-0880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6500
GA
Other
Enumeration date
03/17/2006
Last updated
11/30/2017
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