| NPI | 1700337466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KADE MITCHELL HARRIS Owner 256-572-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AL PTA6012) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |