Provider Demographics
NPI:1285897298
Name:ALCOBA, JOEL FRANCISCO (DPT)
Entity type:Individual
Prefix:MR
First Name:JOEL
Middle Name:FRANCISCO
Last Name:ALCOBA
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:100 MOUNTAIN VIEW DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2434
Mailing Address - Country:US
Mailing Address - Phone:770-889-2163
Mailing Address - Fax:770-889-4385
Practice Address - Street 1:100 MOUNTAIN VIEW DR STE 100
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2434
Practice Address - Country:US
Practice Address - Phone:770-889-2163
Practice Address - Fax:770-889-4385
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0009345225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA116642Medicare PIN