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ANGELA J SUMRELL RPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1114017985

Individual Registrant:
 ANGELA J SUMRELL RPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4528 EASY ST SUITE A ORANGE BEACH, AL 36561-5845 US
Tel: 251-981-1300  Fax: 251-981-1305

Contact information for business:
1908 FLINT RD SE  DECATUR, AL 35601-6031 US
Tel: 256-340-9708  Fax: 256-340-9624

Registration Information:
NPI: 1114017985
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ALPTH 4823

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NPI GROUP1003819608AL01
BCBS515-39070AL01
RAILROAD MEDICARE FROUPDB9027AL01
890019420AL05




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