Individual
MS. MARLIESE SPENCE DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
120 OSLO CIR, BIRMINGHAM, AL 35211-5965
(205) 944-3944
(205) 413-4914
Mailing address
100 OSLO CIR, BIRMINGHAM, AL 35211-5965
(205) 944-3944
(205) 413-4914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTH2643
AL
2251P0200X
Pediatric Physical Therapist
Primary
PTH2643
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51037761
BCBS
—
05
—
890004070
—
AL
Enumeration date
09/06/2006
Last updated
04/19/2019
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