Organization
AVP PHYSICAL THERAPY AND ASSOCIATES, INC.
Active
Organization
AVP PHYSICAL THERAPY AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO VASHAWN PRUITT PT,DPT,MPA (OWNER/ CEO)
(205) 705-4189
Entity
Organization
Contact information
Practice address
1625 DREW DR NW, ATLANTA, GA 30318-4099
(205) 705-4189
Mailing address
1625 DREW DR NW, ATLANTA, GA 30318-4099
(205) 705-4189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011344
GA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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