Individual
KRISTINE QUAGHEBEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
597 OLD RIVER RD, UVALDA, GA 30473-4138
(706) 410-5056
Mailing address
597 OLD RIVER RD, UVALDA, GA 30473-4138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001731
GA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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