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Individual

FALLAN PHAM-REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
147 REINHARDT COLLEGE PKWY STE 9, CANTON, GA 30114-5295
(770) 345-3057
Mailing address
7545 OLD FIELD COVE RD, CUMMING, GA 30028-8938
(678) 983-0103

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
07/12/2021
Last updated
07/12/2021
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