Individual
EBONY GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7391
Mailing address
13224 W COUNTRY HILLS DR, GULFPORT, MS 39503-2897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5010
AL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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