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JOSE ROBERTO AVEIGA PT, DPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1104471812
Individual Registrant: JOSE ROBERTO AVEIGA PT, DPT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1227 ROCKBRIDGE RD STE 402 STONE MOUNTAIN, GA 30087-3006 US
Tel: 770-925-9210 Fax: 770-925-7989
Tel: 770-925-9210 Fax: 770-925-7989
Contact information for business:
6397 LEE HWY STE 300 CHATTANOOGA, TN 37421-4915 US
Tel: 423-238-7217 Fax: 423-238-3473
Tel: 423-238-7217 Fax: 423-238-3473
Registration Information:
NPI: 1104471812
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | GA | PT014220 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
