Individual
CRISTA THORESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1600 BALLEWTOWN RD, BLUE RIDGE, GA 30513-5337
(706) 621-5686
(706) 621-5689
Mailing address
1600 BALLEWTOWN RD, BLUE RIDGE, GA 30513-5337
(706) 621-5686
(706) 621-5689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7312
GA
Other
Enumeration date
10/10/2006
Last updated
01/06/2022
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