Healthcare Provider Details

I. General information

NPI: 1831399062
Provider Name (Legal Business Name): ABBOTT REHABILITATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 07/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22787 US HWY 98
MONTROSE AL
36559
US

IV. Provider business mailing address

20333 MARION CT
FAIRHOPE AL
36532-4509
US

V. Phone/Fax

Practice location:
  • Phone: 251-648-7790
  • Fax: 251-928-9626
Mailing address:
  • Phone: 251-648-7790
  • Fax: 251-928-9628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT1265
License Number StateAL

VIII. Authorized Official

Name: THOMAS ABBOTT
Title or Position: OWNER
Credential: OT
Phone: 251-648-7790