| NPI | 1366851966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BROCK HIGGINBOTHAM Clinical Director 334-380-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH2937) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |