Individual
MRS. CANDY REBONNA TAWBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
718 ACADEMY DR, STE 100, BESSEMER, AL 35022-3305
(205) 428-7774
(205) 428-6928
Mailing address
455 WILDLAND TRL, CORDOVA, AL 35550-3759
(205) 648-2820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA3888
AL
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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