| Doctor Name: | MARIO FERNANDO CRUZ ALZATE |
| NPI Number: | 1780812875 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT009638 |
| Business Practice Address: | 354 Newnan Crossing Byp Suite 200 Newnan, GA - 302652323 |
| Business Phone Number: | 7704604747 |
| Business Fax Number: | |
| Mailing Address: | 100 Galleria Pkwy Se, Suie 410 ATLANTA |
| State: | GA |
| Postal Code: | 303393179 |
| Phone Number: | 7709536929 |
| Fax Number: | 7709536972 |
| NPI Enumeration Date: | 06/26/2009 |
| NPI Last Update Date: | 12/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT009638 |
| 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 |