Provider Demographics
NPI:1851587695
Name:QUARNSTROM, JANICE
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:QUARNSTROM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 CAHABA VALLEY PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-2216
Mailing Address - Country:US
Mailing Address - Phone:205-942-6820
Mailing Address - Fax:205-421-0900
Practice Address - Street 1:300 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-2321
Practice Address - Country:US
Practice Address - Phone:205-755-4960
Practice Address - Fax:205-755-2455
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH 1952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-15886OtherBCBS ALABAMA
AL515-42385OtherBCBS
AL515-42384OtherBCBS