JACKIE CHAD BOTTOMS

TUSCUMBIA, AL
NPI1811371024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  PTA7594)
Enumeration Date2015-07-17
Last Update Date2015-07-17
Business Address
-- JACKIE CHAD BOTTOMS LPTA
500 JOHN ALDRIDGE DR
TUSCUMBIA, AL 35674-3000
Phone number: 256-383-4541
Mailing Address
-- JACKIE CHAD BOTTOMS LPTA
5525 WOODMONT DR
TUSCUMBIA, AL 35674-6109
Phone number:
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