Healthcare Provider Details

I. General information

NPI: 1003237322
Provider Name (Legal Business Name): AUTUMN LYNN WOODS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AUTUMN LYNN ABRAHAM DPT

II. Dates (important events)

Enumeration Date: 01/05/2014
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N FLORIDA ST STE 31
MOBILE AL
36607-3010
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
BIRMINGHAM AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 251-300-8874
  • Fax: 251-308-3126
Mailing address:
  • Phone: 423-238-8923
  • Fax: 423-954-7399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberP14595
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH10295
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: