Individual
JULIE MILLER COSTOMIRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2 ED MOORE CT, SUITE B, STATESBORO, GA 30458-5024
(912) 764-9951
(912) 489-4808
Mailing address
2 ED MOORE CT, SUITE B, STATESBORO, GA 30458-5024
(912) 764-9951
(912) 489-4808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005739
GA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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