Provider Demographics
NPI:1548779911
Name:TALBOT, ANNA REBEKAH (ATC)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:REBEKAH
Last Name:TALBOT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNA BOX 5062
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35632
Mailing Address - Country:US
Mailing Address - Phone:256-765-5116
Mailing Address - Fax:256-765-4685
Practice Address - Street 1:1 HARRISON PLAZA
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35632
Practice Address - Country:US
Practice Address - Phone:256-765-5116
Practice Address - Fax:256-765-4685
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11452081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine