Kristen Agnew Pruitt M.S, PT

NPI 1114012911 - Physical Therapist - 225100000X

NPI Details
NPI 1114012911
Gender Female
Enumeration Date 10/04/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4615 ENFIELD DR
GAINESVILLE GA, 30506-4663, US
Phone (678) 450-1174
Fax (678) 450-1174
Business Location
4615 ENFIELD DR
GAINESVILLE GA, 30506-4663, US
Phone (678) 450-1174
Fax (678) 450-1174
Toxanomy
Taxonomy Code 225100000X
License State Georgia
License Number PT004847
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According to our database, Mrs. Kristen Agnew Pruitt M.S, PT NPI is 1114012911, taxonomy code is 225100000X and license number is PT004847, license state is located at Georgia. Kristen Agnew Pruitt M.S, PT physically located at 4615 Enfield Dr, Gainesville GA, 30506-4663. NPI Number Kristen Agnew Pruitt M.S, PT has the Individual type.

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1114012911 NPI number is provided on an as is basis without warranty of any kind. 1114012911 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen Agnew Pruitt M.S, PT are for informational purposes only.