Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Citrine Therapy Source

Organization Physical Therapist · NPI 1700490265

Citrine Therapy Source is a Physical Therapist in College Park, Georgia. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

5678 Greensage Dr
College Park, GA 30349-8739
Phone: (678) 640-5396
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1700490265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laquanda White — Ceo/Physical Therapist · (678) 640-5396
NPI enumeratedSeptember 2, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020
Mailing address5678 Greensage Dr, College Park, GA 30349-8739

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