Individual
JILL V LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. T.
Contact information
Practice address
8720 RAND AVE, DAPHNE, AL 36526-9102
(251) 990-9082
(251) 990-3707
Mailing address
2200 US HWY 98 SUITE 4, # 320, DAPHNE, AL 36526
(251) 990-9082
(251) 990-3707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3828
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51503483
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/21/2006
Last updated
04/16/2020
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