Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PTH4504 | AL |
NPI | 1124351895 |
---|---|
Provider Name | Mrs. Stephanie K Orr |
First Address | Pelham, AL 35124-2513 |
Second Address | Birmingham, AL 35233-1717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2009 |
Last Update Date | 14/09/2009 |