Individual
TINA M BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1711 N MCKENZIE ST, FOLEY, AL 36535-2249
(877) 240-1775
(251) 929-4741
Mailing address
251 JOHNSTON ST SE, SUITE 300, DECATUR, AL 35601-2515
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2416
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
01
—
DB9027
RAILROAD MEDICARE GROUP
AL
Enumeration date
07/26/2006
Last updated
08/03/2016
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