| NPI | 1699910505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH KELLY Credentialing Specialist 205-745-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2019-05-23 |