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Teniqua Moffatte
Orthotic Fitter in Douglasville, Georgia
NPI 1235722968

Teniqua Moffatte is a Orthotic Fitter based in Douglasville, GA. Teniqua Moffatte practices in Douglasville, GA. The NPI Number for Teniqua Moffatte is 1235722968 and holds a License No. (Georgia).

The current practice location address for Teniqua Moffatte is 1688 Jefferson Ln, Douglasville, GA and can be reached out via phone at 470-848-2679.

Location: 1688 Jefferson Ln, Douglasville, GA, 30134-3249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235722968
Provider Name
Teniqua Moffatte
Credential
Provider Entity Type
Individual
Gender
Female
Address
1688 Jefferson Ln, Douglasville, GA, 30134-3249
Phone Number
470-848-2679
Fax Number
Provider Enumeration Date
02/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1688 Jefferson Ln
City
Douglasville
State
Georgia
Zip
30134-3249
Phone Number
470-848-2679
Fax Number
person
Provider Business Mailing Address Details
Address
1688 Jefferson Ln
City
Douglasville
State
Georgia
Zip
30134-3249
Phone Number
470-848-2679
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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