Doctor Name: | MR. EDWIN BANADOS ANDRADA |
NPI Number: | 1487846614 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | 4246 |
Business Practice Address: | 2129 Riverside Dr Ste B Macon, GA - 312046900 |
Business Phone Number: | 4787419672 |
Business Fax Number: | 4787419674 |
Mailing Address: | 2129 Riverside Dr, Ste B MACON |
State: | GA |
Postal Code: | 312046900 |
Phone Number: | 4787419672 |
Fax Number: | 4787419674 |
NPI Enumeration Date: | 08/12/2007 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |