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Individual

MRS. THERESA JEANINE MAYHUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1860 TREE BROOKE LN, SNELLVILLE, GA 30078-6615
(516) 313-8379
Mailing address
1860 TREE BROOKE LN, SNELLVILLE, GA 30078-6615
(770) 985-9567
(770) 985-1198

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT009624
GA

Other

Enumeration date
03/21/2007
Last updated
12/17/2014
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