Individual
KOTRYBET B KEODOUANGDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1636 MULBERRY ST, MONTGOMERY, AL 36106-1522
(334) 365-3199
(334) 265-3189
Mailing address
1636 MULBERRY ST, MONTGOMERY, AL 36106-1522
(334) 265-3199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH12535
AL
Other
Enumeration date
08/08/2025
Last updated
11/05/2025
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