MARK RAYMOND WESTRA

TIFTON, GA
NPI1063758597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  2118)
Enumeration Date2013-01-03
Last Update Date2013-01-03
Business Address
Mr. MARK RAYMOND WESTRA PT
1610 JOHN ORR DR
TIFTON, GA 31794-3682
Phone number: 229-391-4580
Mailing Address
Mr. MARK RAYMOND WESTRA PT
604 US HIGHWAY 19 N
AMERICUS, GA 31719-8300
Phone number: 229-938-8072
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