Individual
ALAN LEE TISDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
400 MCFARLAND BLVD STE F, NORTHPORT, AL 35476-3371
(205) 333-5351
Mailing address
400 MCFARLAND BLVD STE F, NORTHPORT, AL 35476-3371
(205) 333-5351
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PHT3143
AL
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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