Individual
JAMES R DESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1811 DAHLKE DR, CULLMAN, AL 35058-3625
(256) 739-1370
(256) 937-7229
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT4177
MS
225100000X
Physical Therapist
Primary
PTH7761
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018853
—
AZ
Enumeration date
03/01/2006
Last updated
05/04/2022
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