Provider Demographics
NPI:1225367030
Name:CUARESMA, FRANCISCO B JR (PT)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:B
Last Name:CUARESMA
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:FRANCISCO
Other - Middle Name:B
Other - Last Name:CUARESMA
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1013 RIVERBURCH PARKWAY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-8887
Mailing Address - Country:US
Mailing Address - Phone:866-261-8090
Mailing Address - Fax:
Practice Address - Street 1:1013 RIVERBURCH PKWY
Practice Address - Street 2:SUITE 4
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-8887
Practice Address - Country:US
Practice Address - Phone:866-261-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009616225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist