Individual
RAVEN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
12000 TURNMEYER DR SE, HUNTSVILLE, AL 35803-3358
(800) 724-5535
Mailing address
12000 TURNMEYER DR SE, HUNTSVILLE, AL 35803-3358
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8451
AL
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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