Individual
AMY ODELL SIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3410
(205) 930-7012
(205) 933-5662
Mailing address
1201 11TH AVE S STE 100, BIRMINGHAM, AL 35205-3422
(205) 930-7012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8668
AL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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