KRISTEN KOSOLA MOORE

LAGRANGE, GA
NPI1346380698
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  006298)
Enumeration Date2007-02-07
Last Update Date2020-06-08
Business Address
KRISTEN KOSOLA MOORE
208 SMITH ST
LAGRANGE, GA 30240-2755
Phone number: 706-845-7002
Mailing Address
KRISTEN KOSOLA MOORE
PO BOX 370
FORTSON, GA 31808-0370
Phone number: