Individual
DORIS JOANNE FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
120 GENELDAS WAY, BRUNSWICK, GA 31525-5619
(912) 269-0178
Mailing address
120 GENELDAS WAY, BRUNSWICK, GA 31525-5619
(912) 269-0178
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002261
GA
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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