Individual
TSIANINIA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28235 AL HIGHWAY 53, ARDMORE, AL 35739-8703
(256) 943-1426
(256) 943-1430
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7839
AL
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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