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Individual

TODD CARL FAUSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
5704 7TH AVE S, BIRMINGHAM, AL 35212-4004
(205) 591-8359
Mailing address
5704 7TH AVE S, BIRMINGHAM, AL 35212-4004

Taxonomy

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

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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