Individual
VANESSA MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 RED OAK LN, ALABASTER, AL 35007-6539
(205) 616-0832
Mailing address
120 RED OAK LN, ALABASTER, AL 35007-6539
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3403
AL
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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