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Individual

VALERIE ELISE EDDINGFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
404 WEST MAIN STREET, ENTERPRISE, AL 36330
(334) 308-9797
(334) 836-2247
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4280
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-36098
BCBS
AL
01
515-36099
BCBS
AL
01
515-36100
BCBS
AL
Enumeration date
05/15/2006
Last updated
12/12/2007
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