EDWIN BANADOS ANDRADA

MACON, GA
NPI1487846614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  4246)
Enumeration Date2007-08-12
Last Update Date2007-10-15
Business Address
Mr. EDWIN BANADOS ANDRADA Physical Therapist
2129 RIVERSIDE DR STE B
MACON, GA 31204-6900
Phone number: 478-741-9672
Mailing Address
Mr. EDWIN BANADOS ANDRADA Physical Therapist
2129 RIVERSIDE DR STE B
MACON, GA 31204-6900
Phone number: 478-741-9672