Individual provider · NPI-1

John Addesa, PT

Physical Therapist · Marietta, GA

NPI number1245062520
StatusActive
Last updated in NPPESAug 15, 2024

Details

NPI
1245062520
Entity type
Individual (NPI-1)
Name
John Addesa
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 15, 2024
Certification date
Aug 15, 2024
Last updated
Aug 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2305003026VAYes

Practice location

886 Johnson Ferry Rd
Marietta, GA 30068-4227

Phone 770-343-4378

Mailing address

100 Treadstone Overlook
Johns Creek, GA 30024-1530

Phone 434-610-7531

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