| NPI | 1841633211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HEYNE Owner 256-577-4178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AL 1622) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |