Individual
MR. ROBBIE BRANDON ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
825 W WASHINGTON ST, EUFAULA, AL 36027-1847
(334) 688-7155
(334) 616-7615
Mailing address
251 JOHNSTON ST SE STE 200, DECATUR, AL 35601-2515
(256) 350-1764
(334) 396-4905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6169
AL
2255A2300X
Athletic Trainer
915
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12735267
CAQH
AL
01
—
511-19134
BCBS OF AL
AL
01
—
511-60916
BCBS OF AL
AL
Enumeration date
07/07/2011
Last updated
04/24/2018
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