Individual
GWENDOLYN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 UNIVERSITY PARK DR, BIRMINGHAM, AL 35209-6705
(205) 379-7909
Mailing address
501 UNIVERSITY PARK DR, BIRMINGHAM, AL 35209-6705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA254
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI
HMO
AL
Enumeration date
11/02/2022
Last updated
11/02/2022
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