Individual
LATOYA DOMINIQUE FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11 E GRADY STREET, APT F, STATESBORO, GA 30458-0908
(347) 262-3518
Mailing address
11 E GRADY STREET, APT F, STATESBORO, GA 30458-0908
(347) 262-3518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011235
GA
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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