Individual
MAURICE ANTONIO WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2168 HIGHWAY 20 W, MCDONOUGH, GA 30253-7205
(470) 944-7550
(470) 944-7551
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015115
GA
225100000X
Physical Therapist
PTH9972
AL
Other
Enumeration date
08/21/2020
Last updated
02/27/2025
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