| NPI | 1275187650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAWTHORNE Credentialing Coordinator 205-292-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |