Individual
MS. CHARLOTTE LOUISE MCCRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1725 W 4TH ST, STE 200, MONTGOMERY, AL 36106-1509
(334) 269-4724
(334) 269-4725
Mailing address
1725 W 4TH ST, STE 200, MONTGOMERY, AL 36106-1509
(334) 269-4724
(334) 269-4725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3920
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51521130
BCBS AL PROVIDER #
AL
Enumeration date
04/03/2007
Last updated
07/08/2007
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