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1861102071
JERROD LATHAM
BIRMINGHAM, AL
NPI
1861102071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH11131)
Enumeration Date
2022-11-29
Last Update Date
2022-11-29
Business Address
JERROD LATHAM
720 32ND ST S
BIRMINGHAM, AL 35233-3516
Phone number: 205-731-2177
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Mailing Address
JERROD LATHAM
2823 GREYSTONE COMMERCIAL BLVD
HOOVER, AL 35242-2660
Phone number: 205-745-3660
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