| NPI | 1174012421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA OSWALD Physical Therapist/Owner 334-568-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AL PTH4014) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2023-08-10 |