| NPI | 1316001449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA LANE BLONDHEIM Owner, Therapist 334-279-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AL PTH3183) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |