Individual
MISS KRISTY MARIE TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015093
GA
225200000X
Physical Therapy Assistant
2306603034
VA
Other
Enumeration date
07/05/2011
Last updated
06/09/2021
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