Individual
BEVERLY LANE DEXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
241 ROBERT K WILSON DRIVE, CARROLTON, AL 35447
(205) 367-8111
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5488
AL
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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