| NPI | 1659034759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE SOLLIDAY Billing Admin 334-289-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-10-16 |
| Last Update Date | 2021-11-12 |