Individual
MR. CHRISTOPHER DOUGLAS CANICATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
314 EAGLE CREST DR, MACON, GA 31211-6014
(478) 238-0476
Mailing address
314 EAGLE CREST DR, MACON, GA 31211-6014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5015
GA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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