Amanda Dickerson Lane DPT

NPI 1720236490 - Physical Therapist - 225100000X

NPI Details
NPI 1720236490
Gender Female
Enumeration Date 09/05/2008
Last Updated 05/14/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
3125 INDEPENDENCE DR
300B
BIRMINGHAM AL, 35209, US
Phone (205) 879-7501
Fax (205) 879-0675
Business Location
3125 INDEPENDENCE DR
300B
BIRMINGHAM AL, 35209, US
Phone (205) 879-7501
Fax (205) 879-0675
Toxanomy
Taxonomy Code 225100000X
License State Alabama
License Number 23663
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According to our database, Mrs. Amanda Dickerson Lane DPT NPI is 1720236490, taxonomy code is 225100000X and license number is 23663, license state is located at Alabama. Amanda Dickerson Lane DPT physically located at 3125 Independence Dr, Birmingham AL, 35209. NPI Number Amanda Dickerson Lane DPT has the Individual type.

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1720236490 NPI number is provided on an as is basis without warranty of any kind. 1720236490 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Dickerson Lane DPT are for informational purposes only.