Individual
LAUREL MCCOY LOUALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
200 ALABAMA AVENUE, RUSSELLVILLE, AL 35661
(256) 381-4330
Mailing address
156 RIDGE AVE, RUSSELLVILLE, AL 35653-4055
(662) 251-9412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH11537
AL
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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