Individual
MR. ROBBIE BRANDON ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
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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