Stacy Broadhead OTR

NPI 1437355831 - Home Health - 251E00000X

NPI Details
NPI 1437355831
Gender Female
Enumeration Date 06/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3024 12TH AVE E
TUSCALOOSA AL, 35405-2506, US
Phone (205) 562-9658
Fax
Business Location
3024 12TH AVE E
TUSCALOOSA AL, 35405-2506, US
Phone (205) 562-9658
Fax
Toxanomy
Taxonomy Code 251E00000X
License State Alabama
License Number 1563
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According to our database, Stacy Broadhead OTR NPI is 1437355831, taxonomy code is 251E00000X and license number is 1563, license state is located at Alabama. Stacy Broadhead OTR physically located at 3024 12th Ave E, Tuscaloosa AL, 35405-2506. NPI Number Stacy Broadhead OTR has the Individual type.

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1437355831 NPI number is provided on an as is basis without warranty of any kind. 1437355831 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Broadhead OTR are for informational purposes only.