Individual
SHANNON D WOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3532 VANN RD STE 102, BIRMINGHAM, AL 35235-3263
(205) 508-3415
(205) 508-3418
Mailing address
3532 VANN RD STE 102, BIRMINGHAM, AL 35235-3263
(205) 508-3415
(205) 508-3418
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
301379
LA
225100000X
Physical Therapist
Primary
PTH8935
AL
Other
Enumeration date
05/11/2016
Last updated
11/22/2023
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