Individual
KHRISTINNE S MENJIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
602 OAK ST, HINESVILLE, GA 31313-3963
(912) 272-2920
Mailing address
602 OAK ST, HINESVILLE, GA 31313-3963
(912) 272-2920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004004
GA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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