| NPI | 1013187079 |
|---|---|
| Doing Business As | PEDIATRIC PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JUDY J BENTON Sole Proprietor 256-235-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL PTH1017) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-06-17 |