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Individual

FAN SU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7054 VETERANS PKWY, PELL CITY, AL 35125-5117
(205) 227-7985
Mailing address
1851 S LAKESHORE DR, VESTAVIA HILLS, AL 35216-1623
(626) 321-6609

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9502
AL

Other

Enumeration date
01/19/2021
Last updated
01/19/2021
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