Individual
MARIO FERNANDO CRUZ ALZATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
354 NEWNAN CROSSING BYP, SUITE 200, NEWNAN, GA 30265-2323
(770) 460-4747
Mailing address
100 GALLERIA PKWY SE, SUIE 410, ATLANTA, GA 30339-3179
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009638
GA
Other
Enumeration date
06/26/2009
Last updated
12/30/2012
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