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Individual

TRAYCETTA FORSHEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
36261 OKEFENOKEE DR, FOLKSTON, GA 31537-7853
(912) 496-7396
Mailing address
12445 DEWHURST CIR, JACKSONVILLE, FL 32218-9611

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003204
GA
225200000X
Physical Therapy Assistant
PTA23739
FL

Other

Enumeration date
01/07/2014
Last updated
01/07/2014
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