Individual
ANTHONY XAVIER CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2955 PEACHTREE RD NE STE A1, ATLANTA, GA 30305-2185
(404) 263-0676
Mailing address
3410 ALEXANDER RD NE UNIT 415, ATLANTA, GA 30326-4250
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT016330
GA
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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