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Individual

MISS CHRISTIE L FOWLKES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
2204 LAKESHORE DR, BIRMINGHAM, AL 35209-6729
(205) 423-9502
Mailing address
2204 LAKESHORE DR, BIRMINGHAM, AL 35209-6729
(205) 423-9502

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA626
AL

Other

Enumeration date
04/20/2006
Last updated
07/08/2007
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