| NPI | 1417255977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL TULL Owner 334-872-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AL PTH5121) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: AL PTA3420) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2023-06-02 |