| NPI | 1962554477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG MILES Owner 256-764-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL PTH775) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-06-07 |