MEDICARE: MRS. MARGARET PODLESNY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	PTH 2589	AL

General Provider Information

NPI Number	:	1386763357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET PODLESNY

Provider Business Mailing Address
First Line	:	2403 HUNTINGTON LN SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4567
Country	:	US
Telephone Number	:	256-301-1919
Fax Number	:

Provider Business Practice Location Address
First Line	:	2403 HUNTINGTON LN SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4567
Country	:	US
Telephone Number	:	256-301-1919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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Directions to “ MRS. MARGARET PODLESNY ” Practice Location

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