ALFRED ALEXIS BALLEZA MIRANDA

LITHONIA, GA
NPI1285474759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225100000X Physical Therapist
(Licence: CT  012126)
Enumeration Date2024-05-30
Last Update Date2024-06-06
Business Address
ALFRED ALEXIS BALLEZA MIRANDA
3007 PANOLA RD STE C
LITHONIA, GA 30038-2492
Phone number: 770-987-1122
Mailing Address
ALFRED ALEXIS BALLEZA MIRANDA
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 866-518-0283
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