Individual
CHRISTOPHER O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
475 S MAIN ST, HINESVILLE, GA 31313-4312
(912) 368-4131
Mailing address
491 LOU PAGE LN, RICHMOND HILL, GA 31324-9399
(931) 338-2891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004692
GA
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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