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Individual

LAURA VANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4725 WHITESBURG DR S STE 201, HUNTSVILLE, AL 35802-1665
(256) 880-7776
Mailing address
2002 ALEXANDER DR SE, HUNTSVILLE, AL 35801-1660

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1309
LICENSE
AL
Enumeration date
02/06/2007
Last updated
07/08/2007
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