Healthcare Provider Details

I. General information

NPI: 1851710701
Provider Name (Legal Business Name): CYNTHIA LEE WOZOW D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2014
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 7TH AVE SOUTH, 5601 MCWANE DEPARTMENT OF PEDIATRIC PHYSICAL MEDICINE AND REHAB
BIRMINGHAM AL
35233-1711
US

IV. Provider business mailing address

1600 7TH AVE S
BIRMINGHAM AL
35233-1711
US

V. Phone/Fax

Practice location:
  • Phone: 205-638-7676
  • Fax: 205-638-9793
Mailing address:
  • Phone: 205-638-7676
  • Fax: 205-638-9793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2175
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License Number2175
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: