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Individual

SHELBY ST JOHN NORTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5643 SERMON RD S, THEODORE, AL 36582-3608
(251) 660-1505
(251) 660-9007
Mailing address
251 JOHNSTON ST SE, SUITE 300, DECATUR, AL 35601-2515
(256) 340-9708
(256) 340-9624

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6777
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003819608
GROUP NPI
AL
05
529917620
AL
Enumeration date
05/03/2013
Last updated
10/13/2016
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