Individual
MR. SELEZTINO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
(770) 432-4444
Mailing address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
(704) 324-4444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004415
GA
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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