Southern Spine And Sport | |
2200 Ozark Hwy, Enterprise, AL 36330-8231 | |
(850) 860-0884 | |
Not Available |
Full Name | Southern Spine And Sport |
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Type | Facility |
Speciality | Physical Therapist |
Location | 2200 Ozark Hwy, Enterprise, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235907338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Russell Salmon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982037339 PECOS PAC ID: 8628332624 Enrollment ID: I20180427000263 |
Mailing Address | Practice Location Address |
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Southern Spine And Sport 2200 Ozark Hwy, Enterprise, AL 36330-8231 Ph: (850) 860-0884 | Southern Spine And Sport 2200 Ozark Hwy, Enterprise, AL 36330-8231 Ph: (850) 860-0884 |
Stacey Pirtle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 552 Veterans Pkwy, Enterprise, AL 36330 Phone: 334-242-5077 | |
Mr. Michael Brent Purvis, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100b Professional Ln, Enterprise, AL 36330 Phone: 334-393-7500 | |
Ms. Georgia Kathryn Zachos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 207 Briarhill Rd, Enterprise, AL 36330 Phone: 334-494-4371 Fax: 334-393-1548 | |
Nicole Wolfe, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 N Main St Bldg Suite, Enterprise, AL 36330 Phone: 334-393-7465 | |
Allison Blouin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Professional Ln Ste B, Enterprise, AL 36330 Phone: 334-393-7500 Fax: 334-393-7505 | |
The Summit Health & Rehab Services, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 552 Veterans Pkwy, Enterprise, AL 36330 Phone: 615-406-3997 |