Organization
GEORGIA MANUAL THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TORYA L HARRIS LMT, COTA/L (OWNER)
(478) 284-8151
Entity
Organization
Contact information
Practice address
114 AMELIA DR, BYRON, GA 31008-3503
(478) 953-0938
(478) 918-0253
Mailing address
114 AMELIA DR, BYRON, GA 31008-3503
(478) 953-0938
(478) 918-0253
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004335
GA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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