IndividualActive
Aldo Bustamante
NPI 1376420190 · Physical Therapist · Roswell, GA
Provider details
- NPI number
- 1376420190
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PT017898 (GA)
Practice location
1570 Holcomb Bridge Rd Ste 205
Roswell, GA 30076-4715
Phone: (678) 619-0003
Fax: (678) 619-0004
Mailing address
33900 Harper Ave Ste 104
Clinton Twp, MI 48035-4258
Registry dates
- Enumerated
- 2025-08-21
- Last updated
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.