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 |