Individual
DONNA P MOTAMEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
30 PITTMAN CIR, BRUNSWICK, GA 31520-1834
(912) 571-7365
Mailing address
30 PITTMAN CIR, BRUNSWICK, GA 31520-1834
(912) 571-7365
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MTI011181
GA
Other
Enumeration date
06/04/2017
Last updated
07/21/2022
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