| NPI | 1588188221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARVICE GARRETT NICHOLSON Owner 205-377-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AL PTH363) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |