Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 875 | AL |
NPI | 1003576778 |
---|---|
Provider Name | Nancy Sailer |
First Address | Birmingham, AL 35242-5852 |
Second Address | Hoover, AL 35242-4805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2021 |
Last Update Date | 22/12/2021 |