| NPI | 1043920275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA TUCKER Mbr 205-886-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |