Individual
MR. JOSEPH AVOLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
367 RESOURCE PKWY, BUILDING 8 UNIT B, WINDER, GA 30680-8364
(770) 307-2199
(770) 307-2199
Mailing address
367 RESOURCE PKWY, BUILDING 8 UNIT B, WINDER, GA 30680-8364
(770) 307-2199
(770) 307-2199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005140
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00934832A
—
GA
01
—
PT005140
PHYSICAL THERAPY LICENSE
GA
Enumeration date
11/02/2006
Last updated
12/06/2016
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