Toshiba Forrest

NPI #1235620899 in Lithonia, Georgia

Provider Information

NPI Number: 1235620899
Entity Type: Individual
Name: Toshiba Forrest
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 18, 2018
Last Updated: Aug 28, 2020

Practice Location

Address: 3700 BRAMBLEVINE CIR
City: Lithonia
State: Georgia
ZIP Code: 30038-2918
Phone: (770) 596-4896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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