CLARICE DEWITT MARTY

FORT GORDON, GA
NPI1508031550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  GA 799)
Enumeration Date2008-04-29
Last Update Date2008-04-29
Business Address
Mrs. CLARICE DEWITT MARTY LPTA
300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905-5650
Phone number: 706-787-2720
Mailing Address
Mrs. CLARICE DEWITT MARTY LPTA
300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905-5650
Phone number: 706-787-2720