Individual
CARL T ETHEREDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1045 BROADWAY PARK STE 107, HOMEWOOD, AL 35209-6256
(205) 573-6278
(205) 573-6280
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10797
AL
Other
Enumeration date
01/24/2022
Last updated
10/02/2023
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