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Individual

ANDREW BRANDT STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ORT/L

Contact information

Practice address
120 OSLO CIR, BIRMINGHAM, AL 35211-5965
(205) 944-3921
(205) 413-4914
Mailing address
120 OSLO CIR, BIRMINGHAM, AL 35211-5965
(205) 944-3921
(205) 413-4914

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2502
AL
225XP0200X
Pediatric Occupational Therapist
Primary
2502
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51534727
BCBS
AL
05
890017300
AL
Enumeration date
09/27/2006
Last updated
05/08/2019
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