Individual
MR. ALBERT J DIMICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
48 MEDICAL PARK EAST DRIVE, SUITE 255, BIRMINGHAM, AL 35235
(205) 838-3090
(205) 838-6783
Mailing address
48 MEDICAL PARK EAST DRIVE, SUITE 255, BIRMINGHAM, AL 35235
(205) 838-3090
(205) 838-6783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH154
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51502562
BCBS
AL
01
—
51524776
BCBS
AL
Enumeration date
05/08/2006
Last updated
09/09/2010
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