MIRIAM LONGWATER

SAVANNAH, GA
NPI1619606068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: GA  PTA002331)
Enumeration Date2022-06-09
Last Update Date2022-06-09
Business Address
MIRIAM LONGWATER PTA
1128 E DERENNE AVE
SAVANNAH, GA 31406
Phone number: 912-231-7900
Mailing Address
MIRIAM LONGWATER PTA
5 WYCKFIELD CT
SAVANNAH, GA 31410-3916
Phone number: 912-308-5142
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