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Individual

MRS. LISA CATES ALTAMIRANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT MS

Contact information

Practice address
4851 CAHABA RIVER RD STE 137, VESTAVIA, AL 35243-2359
(205) 969-7887
(205) 969-7886
Mailing address
4851 CAHABA RIVER RD STE 137, VESTAVIA, AL 35243-2359
(205) 969-7887
(205) 969-7886

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTH3294
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-31990
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
05/02/2007
Last updated
08/23/2011
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