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NPI Code Detail

MEDICARE: MRS. NANETTE O'NEAL BICKEL PT

MEDICARE: MRS. NANETTE O'NEAL BICKEL PT
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 Therapist20427AL

General Provider Information

NPI Number : 1891905816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANETTE O'NEAL BICKEL PT
Provider Business Mailing Address
First Line : 164 OAKMONT RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35244-2285
Country : US
Telephone Number : 205-980-4542
Fax Number :
Provider Business Practice Location Address
First Line : 3605 RATLIFF RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35210-4512
Country : US
Telephone Number : 205-956-2184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/08/2007

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