Doctor Name: | ALICIA M DODD |
NPI Number: | 1508296344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PTH6558 |
Business Practice Address: | 42024 Highway 195 Haleyville, AL - 355657054 |
Business Phone Number: | 2054857150 |
Business Fax Number: | 2054857152 |
Mailing Address: | 1908 Flint Rd Se, DECATUR |
State: | AL |
Postal Code: | 356016031 |
Phone Number: | 2563409708 |
Fax Number: | 2563409624 |
NPI Enumeration Date: | 11/14/2013 |
NPI Last Update Date: | 01/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PTH6558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |