Provider Demographics
NPI:1801009147
Name:CAMPBELL, FRANK STUART (PT)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:STUART
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7000 OLD GULFCREST RD
Mailing Address - Street 2:
Mailing Address - City:CITRONELLE
Mailing Address - State:AL
Mailing Address - Zip Code:36522-5776
Mailing Address - Country:US
Mailing Address - Phone:251-866-7891
Mailing Address - Fax:251-866-3259
Practice Address - Street 1:18575 S 3RD ST
Practice Address - Street 2:
Practice Address - City:CITRONELLE
Practice Address - State:AL
Practice Address - Zip Code:36522-2635
Practice Address - Country:US
Practice Address - Phone:251-866-3261
Practice Address - Fax:251-866-3259
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19299225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP53922Medicare UPIN