Provider Demographics
NPI:1447039037
Name:SPEIGNER, ROXANNE GIDDENS
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:GIDDENS
Last Name:SPEIGNER
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 1:7518 BRAMPTON LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-3589
Mailing Address - Country:US
Mailing Address - Phone:334-531-3873
Mailing Address - Fax:
Practice Address - Street 1:7518 BRAMPTON LN
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3589
Practice Address - Country:US
Practice Address - Phone:334-531-3873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4523225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant