Individual
ELIZABETH FILLON WHEELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1201 11TH AVE S STE 100, BIRMINGHAM, AL 35205-3422
(205) 930-7012
Mailing address
2056 CAHABA CREST DR, BIRMINGHAM, AL 35242-4417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4265
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-26575
BCBS
AL
Enumeration date
07/18/2006
Last updated
12/13/2010
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