Provider Demographics
NPI:1851710701
Name:WOZOW, CYNTHIA (DO)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:WOZOW
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 7TH AVE SOUTH, 5601 MCWANE
Mailing Address - Street 2:DEPARTMENT OF PEDIATRIC PHYSICAL MEDICINE AND REHAB
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-638-7676
Mailing Address - Fax:205-638-9793
Practice Address - Street 1:1600 7TH AVE SOUTH, 5601 MCWANE
Practice Address - Street 2:DEPARTMENT OF PEDIATRIC PHYSICAL MEDICINE AND REHAB
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-638-7676
Practice Address - Fax:205-638-9793
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
TX13472208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program