Provider Demographics
NPI:1255408845
Name:VOULGARIDES, LOUIS ANTHONY (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:ANTHONY
Last Name:VOULGARIDES
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2313 HAWKSBURY LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1522
Mailing Address - Country:US
Mailing Address - Phone:205-979-9240
Mailing Address - Fax:
Practice Address - Street 1:631 BEACON PKWY W
Practice Address - Street 2:SUITE 110
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3124
Practice Address - Country:US
Practice Address - Phone:205-945-4859
Practice Address - Fax:205-940-3499
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALPTH645225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist