Individual
MRS. KIM E CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., O.C.S.
Contact information
Practice address
3450 ACWORTH DUE WEST RD NW, SUITE 310, KENNESAW, GA 30144-1001
(770) 974-7494
(770) 974-9141
Mailing address
3450 ACWORTH DUE WEST RD NW, SUITE 310, KENNESAW, GA 30144-1001
(770) 974-7494
(770) 974-9141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003909
GA
Other
Enumeration date
12/14/2006
Last updated
01/30/2008
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