Individual
MARCO WILLIAM BALLETTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 EMORY POINT DR STE C-130, ATLANTA, GA 30329-4022
(678) 553-9466
Mailing address
1100 CIRCLE 75 PKWY SE STE 1400, ATLANTA, GA 30339-3067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016159
GA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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