Individual
KRISTOFFER TOTANES MAGALLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 WALMART WAY, EASTANOLLEE, GA 30538
(706) 282-1025
(706) 886-8156
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12120
CT
225100000X
Physical Therapist
Primary
PT016489
GA
Other
Enumeration date
11/01/2022
Last updated
03/21/2023
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