Organization
MANUEL PHYSICAL THERAPY AND SPORTS PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLANDO E. MANUEL (PTA)
(770) 639-3547
Entity
Organization
Contact information
Practice address
519 SOUTHSHORE LN, STE. 309, DALLAS, GA 30157-4100
(770) 639-3547
Mailing address
519 SOUTHSHORE LN, DALLAS, GA 30157-4100
(770) 639-3547
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA001792
GA
Other
Enumeration date
02/25/2015
Last updated
09/23/2015
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