| NPI | 1063699585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY LYNN MCCULLAR Owner 205-485-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AL PTH3646) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |