| NPI | 1144673740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA D ELLARD PT Rece PT Ionist 205-397-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AL PTH4676) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |