HENRY IRAHETA

ROSWELL, GA
NPI1114649258
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT016262)
Enumeration Date2022-09-15
Last Update Date2022-09-15
Business Address
HENRY IRAHETA
12050 ETRIS RD STE E150
ROSWELL, GA 30075-8022
Phone number: 770-801-4657
Mailing Address
HENRY IRAHETA
121 CHARLES ST
ROCKVILLE, MD 20850-1510
Phone number:
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