Individual
MRS. KRISTEN Z. GRBAVAC O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT009008
GA
225100000X
Physical Therapist
Primary
PT04909
OR
Other
Enumeration date
10/12/2012
Last updated
03/08/2017
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