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1730831447
CARL T ETHEREDGE
HOMEWOOD, AL
NPI
1730831447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH10797)
Enumeration Date
2022-01-24
Last Update Date
2023-10-02
Business Address
CARL T ETHEREDGE DPT
1045 BROADWAY PARK STE 107
HOMEWOOD, AL 35209-6256
Phone number: 205-573-6278
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Mailing Address
CARL T ETHEREDGE DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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