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VINCENT KORTBAWI

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

Registrant NPI Number: 1235693896

Individual Registrant:
 VINCENT  KORTBAWI 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
40870 AL HIGHWAY 69  MOUNDVILLE, AL 35474-4366 US
Tel: 205-450-9114  Fax: --

Contact information for business:
245 CAHABA VALLEY PKWY STE 200  PELHAM, AL 35124-2217 US
Tel: 205-942-6820  Fax: --

Registration Information:
NPI: 1235693896
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ALPTH9071

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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