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Individual

STEVEN D ESTRADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2700 10TH AVE S, SUITE 103, BIRMINGHAM, AL 35205-1200
(205) 930-2600
(205) 930-2605
Mailing address
2700 10TH AVE S, SUITE 103, BIRMINGHAM, AL 35205-1200
(205) 930-2600
(205) 930-2605

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21045
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-24479
BLUE CROSS PROVIDER NUMBE
AL
Enumeration date
05/02/2007
Last updated
07/09/2007
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