Organization
SUNSHINE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE POPE ROTH OTR/L (PRESIDENT)
(256) 658-3180
Entity
Organization
Contact information
Practice address
2521 WOODHURST DR SE, HUNTSVILLE, AL 35803-7900
(256) 658-3180
(256) 883-9550
Mailing address
2521 WOODHURST DR SE, HUNTSVILLE, AL 35803-7900
(256) 658-3180
(256) 883-9550
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1273
AL
Other
Enumeration date
12/15/2013
Last updated
12/15/2013
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