| NPI | 1376760538 |
|---|---|
| Former Legal Business Name | ADVANCE REHAB |
| Entity Type | Organization |
| Authorized Contact | PAMELA P VAN ETTEN Administrator 334-799-5853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-03-08 |