Provider Demographics
NPI:1154751972
Name:CAMERON, DAVID A (DPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:CAMERON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2531 ROCKY RIDGE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-4445
Mailing Address - Country:US
Mailing Address - Phone:205-453-9350
Mailing Address - Fax:205-453-9360
Practice Address - Street 1:2531 ROCKY RIDGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-4445
Practice Address - Country:US
Practice Address - Phone:205-453-9350
Practice Address - Fax:205-453-9360
Is Sole Proprietor?:No
Enumeration Date:2013-11-14
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1237046225100000X
ALPTH7319225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist