Individual
KATHRYN LAZENBY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
3125 INDEPENDENCE DR, 300 B, BIRMINGHAM, AL 35209-4159
(205) 879-7801
(205) 879-0675
Mailing address
3125 INDEPENDENCE DR, 300 B, BIRMINGHAM, AL 35209-4159
(205) 879-7801
(205) 879-0675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2034
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH2034
STATE LICENSE
AL
Enumeration date
03/06/2009
Last updated
03/06/2009
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