Individual
LAURA PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
285 TROTMAN DR, OZARK, AL 36360-1570
(334) 237-4155
Mailing address
285 TROTMAN DR, OZARK, AL 36360-1570
(334) 237-4155
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
3565
AL
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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