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PAMELA MINTZ JEFFRIES PT

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

Registrant NPI Number: 1730208620

Individual Registrant:
 PAMELA MINTZ JEFFRIES PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
208 OFFICE PARK DR  GULF SHORES, AL 36542-3432 US
Tel: 251-948-2045  Fax: 251-948-2048

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

Registration Information:
NPI: 1730208620
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ALPTH196

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA7643921AL01
890021030AL05
GROUP NPI1003819608AL01
BCBS515-40476AL01
RAILROAD MEDICARE GROUPDB9027AL01




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