Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAYTILLIA R. BALAM, MASTER BARBER & COSM
Active Sole ProprietorRAYTILLIA R. BALAM, MASTER BARBER & COSM is a Physical Therapist Assistant healthcare provider located in BRUNSWICK, Georgia. NPI 1477929933 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · BRUNSWICK, GA
Registration Details
- NPI Number
- 1477929933
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 18, 2015 (10.973270616782 yrs)
- Last Updated
- Feb 6, 2016
- Licenses
-
CO126396 (GA)CO126396 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
299 WATER CREST DRBRUNSWICK, GA, 315236108Browse GA providers · Browse ZIP 31523
- Phone
- 9122909898
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
- Additional Specialty
- Reflexologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.