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NPI Code Detail

MEDICARE: PHYSICAL THERAPY SOLUTIONS,LLC

MEDICARE: PHYSICAL THERAPY SOLUTIONS,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
1261QP2000XPhysical Therapy Clinic/CenterPTH2304AL

General Provider Information

NPI Number : 1881693208
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL THERAPY SOLUTIONS,LLC
Provider Business Mailing Address
First Line : 1770 INDEPENDENCE CT
Second Line : SUITE A
City : VESTAVIA HILLS
State : AL
Zip : 35216-1259
Country : US
Telephone Number : 205-871-4914
Fax Number : 205-871-6516
Provider Business Practice Location Address
First Line : 1770 INDEPENDENCE CT
Second Line : SUITE A
City : VESTAVIA HILLS
State : AL
Zip : 35216-1259
Country : US
Telephone Number : 205-871-4914
Fax Number : 205-871-6516
Authorized Official
Title or Position : DIRECTOR OF THERAPY
Name : DONNA GOODWIN
Credential : MS, PT, MOMT
Telephone Number : 205-871-4914
Provider Enumeration Date : 07/18/2005
Last Update Date : 04/23/2015

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