Individual
AUDREY PENTECOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 COLEMAN RD, ANNISTON, AL 36207-6824
(256) 831-5730
Mailing address
2300 COLEMAN RD, ANNISTON, AL 36207-6824
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5440
AL
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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