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NPI Code Detail

MEDICARE: MRS. ELISABETH MAY DOUGLASS DPT

MEDICARE:  MRS. ELISABETH MAY DOUGLASS  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 TherapistPTH4475AL

General Provider Information

NPI Number : 1972547636
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELISABETH MAY DOUGLASS DPT
Provider Business Mailing Address
First Line : 2807 GREYSTONE COMM BLVD.
Second Line : SUITE 34
City : BIRMINGHAM
State : AL
Zip : 35242
Country : US
Telephone Number : 205-745-3660
Fax Number : 205-408-4209
Provider Business Practice Location Address
First Line : 85 PLAZA DRIVE
Second Line :
City : PELL CITY
State : AL
Zip : 35125
Country : US
Telephone Number : 205-338-6106
Fax Number : 205-814-9180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 05/29/2014

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Directions to “ MRS. ELISABETH MAY DOUGLASS DPT” Practice Location

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