Organization
CHILDREN'S THERAPY OF TUSCALOOSA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON LYNN SUTTON OTRL (PRESIDENT)
(205) 339-0900
Entity
Organization
Contact information
Practice address
4236 MCFARLAND BLVD, NORTHPORT, AL 35476-2814
(205) 339-0900
(205) 339-0991
Mailing address
4236 MCFARLAND BLVD, NORTHPORT, AL 35476-2814
(205) 339-0900
(205) 339-0991
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0178
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51505518SUT
BCBS PROVIDER
AL
Enumeration date
01/10/2007
Last updated
08/22/2020
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