Individual
REGINALD STOVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 ADAMS ST, PELHAM, AL 35124-1625
(256) 254-9257
Mailing address
1405 ADAMS ST, PELHAM, AL 35124-1625
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA10090
AL
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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