| NPI | 1992871073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LANDERS Office Administrator 256-764-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH3581) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH3605) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-11-25 |