| NPI | 1780813618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MICHAEL ELLIS Physical Therapist 334-262-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH1388) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2022-04-04 |