| NPI | 1922443225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SHANE RUSSELL Administrator 256-456-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AL PTH 3100) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |