Individual
ANTONIO ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3155 PRESERVATION CIR, LILBURN, GA 30047-2069
(404) 538-7327
Mailing address
3155 PRESERVATION CIR, LILBURN, GA 30047-2069
(404) 538-7327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009042
GA
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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