Individual
MS. CHRISTY CORK ACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
478 KINGSFORD DRIVE, MORAGA, CA 94556
(404) 964-4655
Mailing address
478 KINGSFORD DRIVE, MORAGA, CA 94556
(404) 964-4655
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006290
GA
225100000X
Physical Therapist
Primary
40350
CA
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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