Individual
EMILY SHADOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 HUGHES RD STE P, MADISON, AL 35758-3401
(256) 678-9953
Mailing address
97 HUGHES RD STE P, MADISON, AL 35758-3401
(256) 678-9953
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1-1123
AL
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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