Andrada Physical Therapy, INC

NPI #1861671935 in Macon, Georgia

Provider Information

NPI Number: 1861671935
Entity Type: Organization
Organization Name: Andrada Physical Therapy, INC
Primary Specialty: Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Enumeration Date: Oct 25, 2007
Last Updated: Jan 10, 2013

Practice Location

Address: 3356 VINEVILLE AVE
Address 2: STE C
City: Macon
State: Georgia
ZIP Code: 31204-2328
Phone: (478) 405-7010

Authorized Official

Name: MR. EDWIN BANADOS ANDRADA, PT
Title: PRESIDENT
Phone: (478) 405-7010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	Primary

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