| |
25765 U.s. Highway 98, Elberta, AL 36530 | |
(251) 986-3155 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 25765 U.s. Highway 98, Elberta, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861537920 | NPI | - | NPPES |
51531811 | Other | AL | BCBS AL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH3908 (Alabama) | Primary |
Mailing Address | Practice Location Address |
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25765 U.s. Highway 98, Elberta, AL 36530 Ph: (251) 986-3155 | 25765 U.s. Highway 98, Elberta, AL 36530 Ph: (251) 986-3155 |