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MRS. SANDRA GAYLE BURROUGH MSPT

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

Registrant NPI Number: 1154533958

Individual Registrant:
MRS. SANDRA GAYLE BURROUGH MSPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
AMEDISYS HOME HEALTH 1601-7TH STREET, NORTH, SUITE B CLANTON, AL 35045 US
Tel: 205-755-5509  Fax: 205-755-9980

Contact information for business:
160 BELVEDERE DR  BIRMINGHAM, AL 35242-6624 US
Tel: 205-790-8448  Fax: 205-980-2528

Registration Information:
NPI: 1154533958
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ALPTH1398

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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