| NPI | 1457564619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET JEAN PITTENGER Owner 205-967-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AL PTH653) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL PTH653) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-11-18 |