| NPI | 1285667279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU VICK Executive Director 205-387-0562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH4642) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AL 30) |
| 225X00000X Occupational Therapist (Licence: AL 2347) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |