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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