Organization
ELECTROFITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN STEFFANY MARTINEZ CAMACHO (OWNER)
(478) 293-9900
Entity
Organization
Contact information
Practice address
100 N HOUSTON LAKE BLVD STE E, CENTERVILLE, GA 31028-1268
(478) 293-9900
Mailing address
100 N HOUSTON LAKE BLVD STE E, CENTERVILLE, GA 31028-1268
(478) 293-9900
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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