Individual
CHRISTINE REDOVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4310 JOHNS CREEK PKWY, 100, SUWANEE, GA 30024-6091
(770) 814-2900
(770) 814-7790
Mailing address
3656 STARWOOD TRL SW, LILBURN, GA 30047-2448
(678) 362-8652
(770) 985-3656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004107
GA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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