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NPI Code Detail

MEDICARE: P4 PHYSICAL THERAPY - JONES VALLEY, LLC

MEDICARE: P4 PHYSICAL THERAPY - JONES VALLEY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1669001269
Entity Type Code : Organization
Provider Name (Legal Business Name) : P4 PHYSICAL THERAPY - JONES VALLEY, LLC
Provider Business Mailing Address
First Line : 8059 MITCHELL LN
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-6821
Country : US
Telephone Number : 205-478-4418
Fax Number :
Provider Business Practice Location Address
First Line : 7242 BAILEY COVE RD SE
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-2746
Country : US
Telephone Number : 205-478-4418
Fax Number :
Authorized Official
Title or Position : PRACTICE MANAGER
Name : DONALD LEA SMITH JR.
Credential : DPT
Telephone Number : 205-478-4418
Provider Enumeration Date : 04/06/2020
Last Update Date : 04/13/2020

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Directions to “P4 PHYSICAL THERAPY - JONES VALLEY, LLC ” Practice Location

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