Individual
CHRISTINA MICHELLE CHAN-PONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2750 CHAPEL HILL RD STE 1200, DOUGLASVILLE, GA 30135-1721
(678) 981-6290
(678) 981-6291
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013685
GA
Other
Enumeration date
08/28/2018
Last updated
09/17/2018
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