Individual
VIOLET HARRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 RETREAT PL, ST SIMONS ISLAND, GA 31522-2401
(912) 809-1585
Mailing address
4 RETREAT PL, ST SIMONS ISLAND, GA 31522-2401
(912) 809-1585
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MT005146
GA
225700000X
Massage Therapist
Primary
MT005146
GA
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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