Doctor Name: | MRS. MARY REGINA WORRELL |
NPI Number: | 1558584706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 4214 |
Business Practice Address: | 1512 S Us Highway 31 Bay Minette, AL - 365072611 |
Business Phone Number: | 2515803232 |
Business Fax Number: | |
Mailing Address: | 38360 Holly Hill Dr, BAY MINETTE |
State: | AL |
Postal Code: | 365078356 |
Phone Number: | 2512320213 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |