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NPI Code Detail

MEDICARE: WILLIAM JAMES OLDFIELD DPT

MEDICARE: WILLIAM JAMES OLDFIELD DPT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1245731702
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JAMES OLDFIELD DPT
Provider Business Mailing Address
First Line : 3234 CAHABA HEIGHTS RD
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-1614
Country : US
Telephone Number : 205-298-9101
Fax Number : 205-298-9103
Provider Business Practice Location Address
First Line : 3234 CAHABA HEIGHTS RD
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-1614
Country : US
Telephone Number : 205-298-9101
Fax Number : 205-298-9103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2018
Last Update Date : 02/21/2018

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