Individual
MRS. CASEY CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2415 7TH AVE S, BIRMINGHAM, AL 35233-3317
(205) 933-8101
Mailing address
332 BRENTWOOD AVE, TRUSSVILLE, AL 35173-1111
(205) 862-3342
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4502
AL
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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