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Individual

MRS. REBECCA FLETCHER IMPELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
3125 INDEPENDENCE DR, 300B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675
Mailing address
3125 INDEPENDENCE DR, 300B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3495
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
640002
UNITED HEALTHCARE
AL
Enumeration date
11/06/2006
Last updated
07/08/2007
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