Individual
MARIA REBECCA A TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3000 OLD WEST POINT RD, LAGRANGE, GA 30240-9227
(706) 884-7263
(706) 884-9166
Mailing address
3000 OLD WEST POINT RD, LAGRANGE, GA 30240-9227
(706) 884-7263
(706) 884-9166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT003839
GA
Other
Enumeration date
11/02/2006
Last updated
07/09/2007
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