Provider Demographics
NPI:1386763357
Name:PODLESNY, MARGARET
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:PODLESNY
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 1:2403 HUNTINGTON LN SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4567
Mailing Address - Country:US
Mailing Address - Phone:256-301-1919
Mailing Address - Fax:
Practice Address - Street 1:2403 HUNTINGTON LN SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4567
Practice Address - Country:US
Practice Address - Phone:256-301-1919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH 25892251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics