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Individual

PRESTON J WINN

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
1808 GADSDEN HWY, SUITE 136, BIRMINGHAM, AL 35235-3139
(205) 655-8866
Mailing address
2583 BRIDLEWOOD DR, HELENA, AL 35080-3916
(205) 620-5024

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3685
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51528354
BC/BS IDENTIFIER NUMBER
AL
01
PTH3685
STATE LICENSE NUMBER
AL
Enumeration date
05/04/2006
Last updated
07/08/2007
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