Individual
MS. SHALANEY NICHONIKA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 19TH ST S, PM&RS RM 8144, BIRMINGHAM, AL 35233-1927
(205) 933-4390
Mailing address
1611 CENTER ST S, BIRMINGHAM, AL 35205-5715
(205) 933-4390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5556
AL
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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