Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 2088 |
NPI | 1861155327 |
---|---|
Provider Name | Roslyn Mariah Ragsdale |
First Address | Tuscaloosa, AL 35404-5015 |
Second Address | Tuscaloosa, AL 35404-5015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2021 |
Last Update Date | 20/10/2021 |