Individual
MAISIE VIOLET CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5810 WYNDEMERE LN, STONE MOUNTAIN, GA 30087-2529
(770) 564-3322
Mailing address
5810 WYNDEMERE LN, STONE MOUNTAIN, GA 30087-2529
(770) 564-3322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2598
GA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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