Organization
BLEDSOE TATE OF PRINCETON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA RICHARDS (PROVIDER RELATIONS COORDINATOR)
(334) 396-1400
Entity
Organization
Contact information
Practice address
924 FULTON AVENUE, BIRMINGHAM, AL 35211
(205) 780-6333
(205) 780-6008
Mailing address
7088 UNIVERSITY CT, MONTGOMERY, AL 36117-6992
(334) 396-1400
(334) 396-2727
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
08/22/2020
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