# IMC OF ALABAMA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COSPT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154832921
- **Legal business name:** COSPT
- **Authorized official:** MR. JOHN MARK MILLER PT, DIP MDT (OWNER/PRESIDENT)
- **Authorized official phone:** (850) 656-1837

## Contact information

- **Practice address:** 5101 21ST STREET, TUSCALOOSA, AL 35401
- **Practice address phone:** (850) 656-1837
- **Practice address fax:** (850) 877-2917
- **Mailing address:** 2615 CENTENNIAL BLVD., SUITE 101, TALLAHASSEE, FL 32308-0536
- **Mailing address phone:** (850) 656-1837
- **Mailing address fax:** (850) 877-2917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2017
- **Last updated:** 10/19/2017