Individual
MRS. ANITA GEORGE CHACKO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
26 TOWER RD NE, MARIETTA, GA 30060-6947
(770) 422-8913
Mailing address
2100 SHILOH VALLEY DR NW, APT # 1427, KENNESAW, GA 30144-4571
(678) 528-7530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008158
GA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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