| NPI | 1972981918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET STACY Physical Therapist 205-259-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7544) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-10-26 |