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1661 Shug Jordan Pkwy Unit 500, Auburn, AL 36830-0287 | |
(334) 752-7740 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1661 Shug Jordan Pkwy Unit 500, Auburn, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1932967635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Robert Harris |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912270398 PECOS PAC ID: 1658531207 Enrollment ID: I20120320000249 |
Provider Name | Karas Dorman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710631601 PECOS PAC ID: 4284028820 Enrollment ID: I20220225000315 |
Provider Name | Patrick Sefton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225807563 PECOS PAC ID: 1456702042 Enrollment ID: I20240108005443 |
Mailing Address | Practice Location Address |
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2823 Greystone Commercial Blvd, Hoover, AL 35242-2660 Ph: () - | 1661 Shug Jordan Pkwy Unit 500, Auburn, AL 36830-0287 Ph: (334) 752-7740 |