ANDRADA PHYSICAL THERAPY, INC
Ambulatory Health at Vineville Ave, Macon, GA

License number
Georgia 4707
Category
Ambulatory Health
Type
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Owner
Name: MR. EDWIN BANADOS ANDRADA PT
Title: PRESIDENT
Phone: (478) 405-7010
Address
Address
3356 Vineville Ave STE C, Macon, GA 31204
National Provider ID: 1861671935
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANDRADA PHYSICAL THERAPY, INC

3046 Castlewoods Dr, Macon, GA 31204

Registration:
Jun 26, 2007
State ID:
07055593
Business type:
Domestic Profit Corporation
Secretary:
Edwin Andrada (Secretary), 3356 Vineville Ave #13, Macon, GA 31204 (Physical)
Agent:
Edwin B. Andrada,3046 Castlewoods Dr, Macon, GA (Physical)

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