Individual
REONDRA HORACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5291 VALLEYDALE RD, SUITE 113, BIRMINGHAM, AL 35242-7705
(205) 408-4123
(205) 408-4189
Mailing address
251 JOHNSTON ST SE, SUITE 300, DECATUR, AL 35601-2515
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7915
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
02/15/2016
Last updated
05/27/2020
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