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Organization
BODY LOGIC PHYSICAL THERAPY LLC
Active
Organization
BODY LOGIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY BROCK HIGGINBOTHAM MS, PT (CLINICAL DIRECTOR)
(334) 380-5920
Entity
Organization
Contact information
Practice address
7150 HALCYON PARK DR, MONTGOMERY, AL 36117-7713
(334) 380-5920
(334) 380-5921
Mailing address
PO BOX 242817, MONTGOMERY, AL 36124-2817
(334) 380-5920
(334) 380-5921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2937
AL
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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