Individual
JACKIE CHAD BOTTOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
500 JOHN ALDRIDGE DR, TUSCUMBIA, AL 35674-3000
(256) 383-4541
Mailing address
5525 WOODMONT DR, TUSCUMBIA, AL 35674-6109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7594
AL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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