Individual
CASSIE MARLENA FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6466
(912) 375-2009
(912) 379-0081
Mailing address
PO BOX 1005, HAZLEHURST, GA 31539-1005
(912) 375-2009
(912) 379-0081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008641
GA
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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