Individual
GENA MARIE THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1163 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30068-2764
(770) 321-0155
(770) 321-8426
Mailing address
123 W MADISON ST, SUITE 200, CHICAGO, IL 60602-4511
(312) 624-8102
(312) 496-3175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10036
TN
225100000X
Physical Therapist
Primary
PT011939
GA
Other
Enumeration date
06/03/2014
Last updated
09/08/2016
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