ANTONIO VA'SHAWN PRUITT

ATLANTA, GA
NPI1457583403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT011344)
Enumeration Date2009-08-10
Last Update Date2018-03-22
Business Address
DR. ANTONIO VA'SHAWN PRUITT PT,DPT,MPA
700 MARIETTA ST NW STE B
ATLANTA, GA 30318-5726
Phone number: 678-705-3091
Mailing Address
DR. ANTONIO VA'SHAWN PRUITT PT,DPT,MPA
PO BOX 93684
ATLANTA, GA 30377-0684
Phone number: 678-705-3091
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