Individual
BETHANY MARIE PRESSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3125 INDEPENDENCE DR, 300B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675
Mailing address
3125 INDEPENDENCE DR, 300B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2617
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2617
TEMPORARY STATE LICENSE
AL
01
—
511-07722
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
PTA5871
STATE LICENSE NO
AL
Enumeration date
06/09/2010
Last updated
08/16/2010
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