Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWIN BANADOS ANDRADA, PHYSICAL THERAPIST
Active Sole ProprietorMR. EDWIN BANADOS ANDRADA, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in MACON, Georgia. NPI 1487846614 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MACON, GA
Registration Details
- NPI Number
- 1487846614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2007 (19.045757127142 yrs)
- Last Updated
- Oct 15, 2007
- License
-
4246 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2129 RIVERSIDE DRSTE BMACON, GA, 312046900Browse GA providers · Browse ZIP 31204
- Phone
- 4787419672
- Fax
- 4787419674
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER LEE HAIRIE | PT, DPT | 1477529956 |
| DR. RICHARD JASON KENT | DPT | 1598792715 |
| MR. MICHAEL ANDREW POLASCIK | PT ATC | 1609899558 |
| MR. MICHAEL R WISDOM | PT | 1578579686 |
| MR. ROBERT ADAM MEDRZYCKI | PT | 1336256411 |
| MR. CHRISTOPHER DOUGLAS CANICATTI | PT | 1760551691 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.