Individual
MIRANDA DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 MT HEBRON RD, ELMORE, AL 36025-1526
(334) 567-8484
Mailing address
280 MT HEBRON RD, ELMORE, AL 36025-1526
(334) 567-8484
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10827
AL
Other
Enumeration date
02/08/2023
Last updated
08/21/2024
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