Kathrine A Dorta KATHRINE DORTA

NPI 1700119849 - Massage Therapist - 225700000X

NPI Details
NPI 1700119849
Gender Female
Enumeration Date 09/08/2009
Last Updated 09/08/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3444 CLUB DR
LAWRENCEVILLE GA, 30044-2402, US
Phone (770) 330-7975
Fax
Business Location
106 DAVIS MILL CT
LAWRENCEVILLE GA, 30044-4635, US
Phone (770) 330-7975
Fax
Toxanomy
Taxonomy Code 225700000X
License State Georgia
License Number MT003005
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According to our database, Kathrine A Dorta KATHRINE DORTA NPI is 1700119849, taxonomy code is 225700000X and license number is MT003005, license state is located at Georgia. Kathrine A Dorta KATHRINE DORTA physically located at 3444 Club Dr, Lawrenceville GA, 30044-2402. NPI Number Kathrine A Dorta KATHRINE DORTA has the Individual type.

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1700119849 NPI number is provided on an as is basis without warranty of any kind. 1700119849 is maintained by the National Plan & Provider Enumeration System. The contents of Kathrine A Dorta KATHRINE DORTA are for informational purposes only.