| NPI | 1114215233 |
|---|---|
| Doing Business As | TRI-CITIES SPORTS MEDICINE AND REHAB |
| Entity Type | Organization |
| Authorized Contact | JEANCARLO ALENCASTRO Clinic Owner 770-203-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT001665) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2018-08-01 |