Healthcare Provider Details

I. General information

NPI: 1972670750
Provider Name (Legal Business Name): PATSY GAIL RHODES CERTIFIED CONSULTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 ROCKY BROOK TRL
BIRMINGHAM AL
35214-1001
US

IV. Provider business mailing address

1033 ROCKY BROOK TRL
BIRMINGHAM AL
35214-1001
US

V. Phone/Fax

Practice location:
  • Phone: 205-674-1626
  • Fax: 205-674-1999
Mailing address:
  • Phone: 205-674-1626
  • Fax: 205-674-1999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: