Individual
DR. KASANDRA GRIZZARD VANEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1014 FORSYTH ST # STREET11, MACON, GA 31201-2051
(478) 633-8100
Mailing address
1014 FORSYTH STREET, MACON, GA 31201
(478) 633-2742
(478) 633-7552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
GA
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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