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Individual

MRS. MEREDITH BOONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
3125 INDEPENDENCE DRIVE, 300B, BIRMINGHAM, AL 35209
(205) 879-7501
(205) 879-0675
Mailing address
3125 INDEPENDENCE DRIVE, 300B, BIRMINGHAM, AL 35209
(205) 879-7501
(205) 879-0675

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4303
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51520395
BLUE CROSS
AL
01
6400002
UNITED HEALTH CARE
AL
Enumeration date
10/02/2006
Last updated
07/08/2007
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