Individual
GLORIA A FAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
165 WHITESPORT DR SW STE 2, HUNTSVILLE, AL 35801-7427
(256) 489-3760
(256) 713-1873
Mailing address
1267 ENTERPRISE WAY NW STE B, HUNTSVILLE, AL 35806-4472
(256) 713-1872
(256) 713-1873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5003
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051007194
BCBS OF AL
AL
Enumeration date
04/18/2007
Last updated
07/12/2021
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