Individual
FIDELIS SAMIA MAKYAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7100
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 862-0309
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5686
AL
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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