Individual
DR. MARQUITTA ELAIN BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
PO BOX 40, MOULTRIE, GA 31776-0040
(229) 985-3420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009728
GA
Other
Enumeration date
03/23/2011
Last updated
12/26/2017
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