NPI 1265930812

Antwaun Burroughs

Practitioner Orthotist Birmingham, AL

Practice location

Address: 181 W Valley Ave STE 225, Birmingham, AL 35209-3691
Phone: (205) 919-3900

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 775 (AL)

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Registry record

NPI: 1265930812
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2018
Record last updated: 26 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.