Provider Demographics
NPI:1467830927
Name:GRAMLING, ELEANOR MAGAN (OTR/L, CLT)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:MAGAN
Last Name:GRAMLING
Suffix:
Gender:F
Credentials:OTR/L, CLT
Other - Prefix:
Other - First Name:ELEANOR
Other - Middle Name:MAGAN HIGGINS
Other - Last Name:GRAMLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1717 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1801
Mailing Address - Country:US
Mailing Address - Phone:205-975-1279
Mailing Address - Fax:205-934-2733
Practice Address - Street 1:153 NARROWS PKWY STE 101
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8601
Practice Address - Country:US
Practice Address - Phone:205-981-4534
Practice Address - Fax:205-981-4535
Is Sole Proprietor?:No
Enumeration Date:2015-05-15
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3545225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist