| |
4367 Atlanta Hwy, Montgomery, AL 36109-3171 | |
(334) 558-0906 | |
(334) 558-0910 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 4367 Atlanta Hwy, Montgomery, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578835542 | NPI | - | NPPES |
2056 | Other | AL | STATE LICENSE |
Provider Name | George A Hollon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790858777 PECOS PAC ID: 7315983970 Enrollment ID: I20050707000890 |
Provider Name | Tyson Crisman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306954276 PECOS PAC ID: 6608907894 Enrollment ID: I20100702000335 |
Provider Name | Jason R Hart |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376633784 PECOS PAC ID: 6406021088 Enrollment ID: I20111209000207 |
Provider Name | Ben E Weber |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1689911596 PECOS PAC ID: 6507011962 Enrollment ID: I20130311000130 |
Provider Name | Ladarius Woods |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285034710 PECOS PAC ID: 8729200449 Enrollment ID: I20141113001687 |
Provider Name | Tonya A Forbus |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134357452 PECOS PAC ID: 1850765520 Enrollment ID: I20230426003239 |
Mailing Address | Practice Location Address |
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4367 Atlanta Hwy, Montgomery, AL 36109-3171 Ph: (334) 558-0906 | 4367 Atlanta Hwy, Montgomery, AL 36109-3171 Ph: (334) 558-0906 |