Organization
ATLANTA INTERNATIONAL PT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIO O HERNANDEZ PT. (PRESIDENT AND OWNER)
(770) 622-2532
Entity
Organization
Contact information
Practice address
3985 STEVE REYNOLDS BLVD, BLDG G., NORCROSS, GA 30093-3035
(770) 622-2532
(770) 622-2534
Mailing address
3985 STEVE REYNOLDS BLVD, BLDG G., NORCROSS, GA 30093-3035
(770) 622-2532
(770) 622-2534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03810
GA
225X00000X
Occupational Therapist
OT002773
GA
225X00000X
Occupational Therapist
OT003725
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00811148E
—
GA
Enumeration date
04/04/2007
Last updated
09/23/2009
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