Individual
KRISTINA STORM CONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4640 MARTIN RD, CUMMING, GA 30041-5542
(678) 679-1261
Mailing address
4578 WADE VALLEY DR, CUMMING, GA 30040-5845
(770) 815-6534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013941
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003220548A
—
GA
Enumeration date
06/12/2019
Last updated
02/01/2021
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