Individual
MRS. DIANA J RALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1600 FORSYTH ST, MACON, GA 31201-1408
(478) 743-3000
(478) 741-9657
Mailing address
1600 FORSYTH ST, MACON, GA 31201-1408
(478) 743-3000
(478) 741-9657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004849
GA
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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