Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 1159 | AL |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 1159 | AL |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 1159 | AL |
NPI | 1023400561 |
---|---|
Provider Name | Mrs. Mindy Allbritton Tarrant |
First Address | Vestavia, AL 35226-2820 |
Second Address | Vestavia, AL 35226-2820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2015 |
Last Update Date | 20/02/2015 |