Individual
MRS. CHRISTY DAWN COLAGROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9559 HIGHWAY 5 STE 204, DOUGLASVILLE, GA 30135-1517
(770) 920-9778
(770) 920-2815
Mailing address
9559 HWY 5 SUITE 204, DOUGLASVILLE, GA 30135
(770) 920-9778
(770) 920-2815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000807991B
—
GA
Enumeration date
12/27/2006
Last updated
12/11/2015
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