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Individual

MRS. MINDI MEADOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS PT ATC

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3371
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
481308430
TAX ID
AL
01
51514927
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/24/2007
Last updated
01/23/2025
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