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Individual

ANTHONY BLAINE CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
99 E BROAD ST, CAMILLA, GA 31730-1807
(229) 336-8255
(229) 336-1932
Mailing address
99 E BROAD ST, CAMILLA, GA 31730-1807
(229) 336-8255
(229) 336-1932

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010096
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT010096
LICENSE
GA
Enumeration date
11/10/2011
Last updated
11/10/2011
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