| NPI | 1740355239 |
|---|---|
| Doing Business As | ADVANCE THERAPY & PERFORMANCE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK A MASHBURN Physical Therapist 334-699-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-08-06 |