Individual
SHAYLA R STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1112 MARIA LN, IUKA, MS 38852-1119
(662) 593-3111
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 206-4158
(717) 773-4654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7426
MS
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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