Individual
KRISTEN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
545 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3389
(678) 377-2833
Mailing address
1293 BRIARDALE LN NE, ATLANTA, GA 30306-2623
(770) 601-4716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011579
GA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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