Individual
SCOTT A SALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2870 OLD ROCKY RIDGE RD, SUITE 115, BIRMINGHAM, AL 35243-2927
(205) 822-8335
(205) 822-8337
Mailing address
3080 WHISPERING PINES CIR, BIRMINGHAM, AL 35226-3428
(205) 823-4218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2986
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007753741
AETNA
AL
01
—
050571189 35243 A001
TRICARE
AL
01
—
51523555
BLUE CROSS BLUE SHIELD
AL
05
—
529925400
—
AL
01
—
VIVA HEALTH
050571189
AL
Enumeration date
12/26/2006
Last updated
07/08/2007
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