Citrine Therapy Source

LBN: Citrine Therapy Source
Citrine Therapy Source is an health care organization with primary practice located at 5678 Greensage Dr , College Park GA 30349-8739. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Citrine Therapy Source can be contacted via phone (678) 640-5396, or through White, Laquanda via phone (678) 640-5396.

Contact Information

Primary practice address
5678 Greensage Dr College Park GA 30349-8739
Phone: (678) 640-5396
Fax:
Website:
Map and Directions
Authorized official contact:
Name: White, Laquanda Physical Therapist (PT)
Phone: (678) 640-5396

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1700490265
LBN Legal business name Citrine Therapy Source
DBA Doing business as
Authorized official White, Laquanda Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2020
Last updated Sep 2nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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