| NPI | 1669559944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SAMUEL PETERSON Owner/Executive Director 256-837-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-21 |