| NPI | 1053879056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN DOYAL PELUSO President 334-791-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |