Individual
LAURA WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1477 PRAIRIE OAK DR, MONTGOMERY, AL 36117
(800) 259-9897
Mailing address
1477 PRAIRIE OAK DR, MONTGOMERY, AL 36117-8909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2101730
TX
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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