Individual
MRS. CHRISTA L MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L, CHT
Contact information
Practice address
2204 LAKESHORE DR, STE 150, HOMEWOOD, AL 35209-6729
(205) 423-9502
(205) 423-9504
Mailing address
2204 LAKESHORE DR, STE 150, HOMEWOOD, AL 35209-6729
(205) 423-9502
(205) 423-9504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0770
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51514150
BLUE CROSS BLUE SHIELD
AL
01
—
7357418
AETNA
AL
Enumeration date
05/30/2005
Last updated
03/27/2009
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