Individual
BRIAN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 GILBERT DR, ALABASTER, AL 35007-8867
(205) 259-3991
Mailing address
100 GILBERT DR, ALABASTER, AL 35007-8867
(205) 259-3991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6332
AL
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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