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JOSE ROBERTO AVEIGA PT, DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1104471812

Individual Registrant:
 JOSE ROBERTO AVEIGA PT, DPT
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

Contact information for business:
6397 LEE HWY STE 300  CHATTANOOGA, TN 37421-4915 US
Tel: 423-238-7217  Fax: 423-238-3473

Registration Information:
NPI: 1104471812
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
GAPT014220

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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