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Individual

MS. LISA ANN TRENTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
400 PAUL W BRYANT DR E, TUSCALOOSA, AL 35401-2009
(205) 345-0192
(205) 247-2878
Mailing address
400 PAUL W BRYANT DR E, TUSCALOOSA, AL 35401-2009
(205) 345-0192
(205) 247-2878

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1033153
AL

Other

Enumeration date
02/10/2014
Last updated
02/10/2014
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