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Individual

MR. FRANCO ANTONELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.P.T.

Contact information

Practice address
623 WALNUT ST, GADSDEN, AL 35901-4136
(256) 546-6553
(256) 546-5720
Mailing address
623 WALNUT ST, GADSDEN, AL 35901-4136
(256) 546-6553
(256) 546-5720

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2572
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051500409
BCBS PROVIDER
AL
Enumeration date
04/03/2007
Last updated
01/18/2013
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