| NPI | 1982807228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL E BURKS Co Director 256-386-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH4059) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |