Provider Demographics
NPI:1366775579
Name:DOESCHER, CARRIE E (PT, PCS)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:E
Last Name:DOESCHER
Suffix:
Gender:F
Credentials:PT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 RIDGEMOOR DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6434
Mailing Address - Country:US
Mailing Address - Phone:205-824-4819
Mailing Address - Fax:205-824-4807
Practice Address - Street 1:1940 ELMER J BISSELL RD
Practice Address - Street 2:PT/ OT
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2941
Practice Address - Country:US
Practice Address - Phone:205-824-4819
Practice Address - Fax:205-824-4807
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH26302251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics