Individual
KANA PAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11123 CHANTILLY PKWY CT UNIT D, PIKE ROAD, AL 36064-2881
(334) 746-5522
(334) 239-4478
Mailing address
11123 CHANTILLY PKWY CT UNIT D, PIKE ROAD, AL 36064-2881
(334) 746-5522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7394
AL
Other
Enumeration date
11/18/2014
Last updated
06/03/2024
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