| NPI | 1932667318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HENDERSON President 256-350-1764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-12-02 |