Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Citrine Therapy Source

Organization Physical Therapist · NPI 1700490265

Citrine Therapy Source provides Physical Therapist services 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

Other providers in College Park