Individual
DR. BAABAK MOSTOUFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
4630 PARK BROOKE TRCE, ALPHARETTA, GA 30022-3731
(678) 591-9116
Mailing address
4630 PARK BROOKE TRCE, ALPHARETTA, GA 30022-3731
(678) 591-9116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014796
GA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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