Individual
MR. JB CONCORDIO GALUTERA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3921 OLD ATLANTA STATION DR SE, ATLANTA, GA 30339-1984
(850) 766-1672
Mailing address
3150 HOWELL MILL RD NW, ATLANTA, GA 30327-2108
(404) 351-8410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011738
GA
225100000X
Physical Therapist
PT29656
FL
Other
Enumeration date
09/22/2014
Last updated
07/21/2022
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