Individual
KRISTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3500 ANNANDALE LN, SUWANEE, GA 30024-2150
(678) 765-4811
Mailing address
3925 DOLLAR CIR, SUWANEE, GA 30024-2359
(470) 290-0629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004933
GA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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