| NPI | 1932436334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A WAITE Owner/Physical Therapist 256-489-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH4161) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH4164) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2021-03-04 |