| NPI | 1306477328 |
|---|---|
| Former Legal Business Name | PRATTVILLE PEDIATRIC THERAPY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | KELSIE ULRICH Co Owner 334-478-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2025-02-14 |