| NPI | 1134540222 |
|---|---|
| Other Name | TRI-VISTA REHAB - BIRMINGHAM |
| Entity Type | Organization |
| Authorized Contact | KEVIN BOUTIN President 662-231-7304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |