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Individual

ALEECIA ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 ELECIA LANE, FOLEY, AL 36535
(251) 971-1436
Mailing address
24280 STATE HWY 181, DAPHNE, AL 36526
(251) 990-4577

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1216
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51094057
BCBS PT PROVIDER
AL
01
515-37250
AL BCBS PROVIDER NUMBER
AL
Enumeration date
02/06/2007
Last updated
07/08/2007
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