Individual
MRS. RUTH N AUBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6475 VAN BUREN ST, STE 102, DAPHNE, AL 36526-7571
(251) 626-9052
(251) 626-5384
Mailing address
6475 VAN BUREN ST, STE 102, DAPHNE, AL 36526-7571
(251) 626-9052
(251) 626-5384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH847
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130287
—
AL
05
—
130288
—
AL
01
—
18371
HEALTHSPRING ID
AL
01
—
509115
AETNA I.D.
AL
01
—
51072218
BLUE CROSS
AL
01
—
630997518
COMMERCIAL ID
AL
Enumeration date
06/09/2005
Last updated
08/17/2011
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