Healthcare Provider Details

I. General information

NPI: 1841619640
Provider Name (Legal Business Name): KATERA ABRAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 20TH ST S SUITE 101
BIRMINGHAM AL
35205-2610
US

IV. Provider business mailing address

1720 2ND AVE S CH19-307
BIRMINGHAM AL
35294-2041
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-5471
  • Fax: 205-975-2380
Mailing address:
  • Phone: 205-934-1089
  • Fax: 205-975-2380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2862
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: