Individual
GAY MICHELLE MARASIGAN OCENAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 SS RAILROAD BED RD APT 101, STATESBORO, GA 30461-8612
(706) 618-8503
Mailing address
1881 SS RAILROAD BED RD APT 101, STATESBORO, GA 30461-8612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009931
GA
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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