Individual
EMILY LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1387 STATE HIGHWAY 160, WARRIOR, AL 35180-4437
(205) 647-6849
(205) 647-4574
Mailing address
251 JOHNSTON ST SE STE 300, DECATUR, AL 35601-2515
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7676
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
08/04/2015
Last updated
08/04/2015
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