Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1639655210 |
---|---|
Provider Name | Quarikas Hinton |
First Address | Tuscaloosa, AL 35405-6606 |
Second Address | Tuscaloosa, AL 35405-6606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2018 |
Last Update Date | 17/07/2018 |