Individual
MRS. RENETTE ELIZABETH MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
631 BEACON PKWY W STE 110, BIRMINGHAM, AL 35209-3130
(205) 945-4859
Mailing address
6038 HOBBY LN, PINSON, AL 35126-4466
(205) 680-6269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH2006
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH2006
PHYSICAL THERAPY LICENSE
AL
Enumeration date
01/08/2007
Last updated
07/08/2007
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