| NPI | 1891721528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA RICHARDS Provider Relations Coordinator 334-420-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |