Individual
KALIN BRYN OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
690 DALLAS HWY STE 203, VILLA RICA, GA 30180-1263
(770) 459-4555
Mailing address
120 E CENTER ST, CARROLLTON, GA 30117-3303
(678) 390-6166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014494
GA
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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