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NPI Code Detail

MEDICARE: MR. ANDREW D STANFORD DPT

MEDICARE: MR. ANDREW D STANFORD 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 TherapistPTH7485AL

General Provider Information

NPI Number : 1326439647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW D STANFORD DPT
Provider Business Mailing Address
First Line : 2823 GREYSTONE COMMERCIAL BLVD
Second Line :
City : HOOVER
State : AL
Zip : 35242-2660
Country : US
Telephone Number : 205-745-3660
Fax Number : 205-745-3649
Provider Business Practice Location Address
First Line : 3421 S SHADES CREST RD STE 107
Second Line :
City : HOOVER
State : AL
Zip : 35244-3551
Country : US
Telephone Number : 205-987-6501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2015
Last Update Date : 07/06/2022

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Directions to “ MR. ANDREW D STANFORD DPT” Practice Location

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