Individual
RICHARD EDWARD NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2191 NORTHLAKE PKWY, SUITE 31, TUCKER, GA 30084-4166
(770) 491-6004
(770) 723-0872
Mailing address
2191 NORTHLAKE PKWY, SUITE 31, TUCKER, GA 30084-4166
(770) 491-6004
(770) 723-0872
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0897
GA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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