Mirmon Troi Virgino De Vera, PT

NPI #1073353546 in Norcross, Georgia

Provider Information

NPI Number: 1073353546
Entity Type: Individual
Name: Mirmon Troi Virgino De Vera, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 30, 2024
Last Updated: Jan 28, 2025

Practice Location

Address: 6050 PEACHTREE PKWY STE 410
City: Norcross
State: Georgia
ZIP Code: 30092-3337
Phone: (770) 441-1276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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