| |
5408 Summerville Rd Ste 150, Phenix City, AL 36867-7844 | |
(334) 384-6966 | |
(334) 384-6969 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 5408 Summerville Rd Ste 150, Phenix City, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043786155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
251 Johnston St Se Ste 200, Decatur, AL 35601-2515 Ph: (256) 350-1764 | 5408 Summerville Rd Ste 150, Phenix City, AL 36867-7844 Ph: (334) 384-6966 |