Individual
MRS. KATHRYN SULCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1218 13TH AVE SE, DECATUR, AL 35601-4307
(256) 355-6200
(256) 355-6241
Mailing address
1218 13TH AVE SE, DECATUR, AL 35601-4307
(256) 355-6200
(256) 355-6241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH244
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051526604
PROVIDER NUMBER
AL
05
—
051526604
—
AL
Enumeration date
11/09/2005
Last updated
01/22/2010
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