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Individual

CHRISTINE ORTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
335 UPPER RIVERDALE RD, SUITE B10, JONESBORO, GA 30236-1099
(770) 907-5743
Mailing address
PO BOX 518, JONESBORO, GA 30237-0518
(770) 631-8277
(770) 631-9403

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001391
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA001391
STATE LISC NUMBER
GA
Enumeration date
11/03/2006
Last updated
07/08/2007
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