Individual
DOMINICA AQUINO MORALES-GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 SPRINGDALE ROAD SW, ATLANTA, GA 30315
(404) 762-8672
Mailing address
2197 HEDGEROW WAY, JONESBORO, GA 30236-9001
(678) 360-0997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003281
GA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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