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1184464653
REDDICK RAY MATULAC TERRE
FAYETTEVILLE, GA
NPI
1184464653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
(Licence: CT 12114)
Enumeration Date
2024-05-30
Last Update Date
2024-06-27
Business Address
REDDICK RAY MATULAC TERRE
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214-4538
Phone number: 770-460-8609
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Mailing Address
REDDICK RAY MATULAC TERRE
1580 SAWGRASS CORPORATE PKWY STE 320
SUNRISE, FL 33323-2859
Phone number: 470-629-1818
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