| NPI | 1740653237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WASH Owner 334-791-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: AL PTH3067) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |