NPI | 1508976630 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKI L HOVATER Physical Therapist 256-760-0032 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 262) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 480) |
225X00000X Occupational Therapist (Licence: AL 1128) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |