| |
36 Kowaliga Rd, Ste 11, Eclectic, AL 36024-5618 | |
(343) 541-2199 | |
(334) 541-5013 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 36 Kowaliga Rd, Eclectic, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952001976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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7697 Upper River Rd, Tallassee, AL 36078-3453 Ph: (334) 541-2199 | 36 Kowaliga Rd, Ste 11, Eclectic, AL 36024-5618 Ph: (343) 541-2199 |