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Organization
GOODWILL EASTER SEALS OF THE GULF COAST
Active
Organization
GOODWILL EASTER SEALS OF THE GULF COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F SPRAGGINS (DIRECTOR CHILDREN'S SERVICES)
(251) 471-1581
Entity
Organization
Contact information
Practice address
2448 GORDON SMITH DR, MOBILE, AL 36617-2319
(251) 471-1581
(251) 476-4303
Mailing address
2448 GORDON SMITH DR, MOBILE, AL 36617-2319
(251) 471-1581
(251) 476-4303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529909360
BILLING PAYEE NUMBER
AL
Enumeration date
05/30/2007
Last updated
09/11/2008
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