Individual
MRS. KRYSTYNA S. BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1810 CUMMING HWY, CANTON, GA 30115-2986
(678) 885-9965
Mailing address
944 SANTA ANITA DR, WOODSTOCK, GA 30189-7185
(248) 990-5070
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06001842A
MI
225200000X
Physical Therapy Assistant
Primary
PTA004173
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5171931
—
MI
Enumeration date
05/24/2007
Last updated
09/01/2021
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