Alfred Alexis Balleza Miranda

NPI #1285474759 in Lithonia, Georgia

Provider Information

NPI Number
1285474759
Entity Type
Individual
Name
Alfred Alexis Balleza Miranda
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
May 30, 2024
Last Updated
Mar 20, 2025

Practice Location

Address
3007 PANOLA RD STE C
State
Georgia
ZIP Code
30038-2492
Phone
(770) 987-1122

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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