Individual
TERESA BEAN MORNEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
108 PARK AVENUE, ATHENS, GA 30601-1722
(706) 546-1333
(706) 546-5807
Mailing address
108 PARK AVENUE, ATHENS, GA 30601-1722
(706) 546-1333
(706) 546-5807
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
008025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008025
PHYSICAL THERAPIST LICENS
GA
Enumeration date
10/05/2006
Last updated
07/08/2007
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