Individual
KATHLEEN REILLY GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1407 VIRGINIA WAY, MONROE, GA 30655-5696
(770) 265-5799
Mailing address
1407 VIRGINIA WAY, MONROE, GA 30655-5696
(770) 265-5799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6610
GA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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