| NPI | 1841352929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN L KELSEY Owner 205-783-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AL 16871) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL 16871) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-10-18 |