Antoine Jose Davenport KINESIOTHERAPIST

NPI 1790044907 - Clinical Exercise Physiologist - 224Y00000X

NPI Details
NPI 1790044907
Gender Male
Enumeration Date 05/08/2012
Last Updated 05/08/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1755 GRASSLAND PKWY
SUITE B
ALPHARETTA GA, 30004-8600, US
Phone (687) 580-1404
Fax
Business Location
10102 BRASS RING RD
JONESBORO GA, 30238-6508, US
Phone (678) 668-1739
Fax
Toxanomy
Taxonomy Code 224Y00000X
License State
License Number
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According to our database, Mr. Antoine Jose Davenport KINESIOTHERAPIST NPI is 1790044907, taxonomy code is 224Y00000X Antoine Jose Davenport KINESIOTHERAPIST physically located at 1755 Grassland Pkwy, Alpharetta GA, 30004-8600. NPI Number Antoine Jose Davenport KINESIOTHERAPIST has the Individual type.

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1790044907 NPI number is provided on an as is basis without warranty of any kind. 1790044907 is maintained by the National Plan & Provider Enumeration System. The contents of Antoine Jose Davenport KINESIOTHERAPIST are for informational purposes only.