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Organization
REFINE PT AND PERFORMANCE - EAST ALABAMA LLC
Active
Organization
REFINE PT AND PERFORMANCE - EAST ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE THIBODEAUX (OWNER/MEMBER)
(256) 227-9464
Entity
Organization
Contact information
Practice address
1324 ROSS CLARK CIR, DOTHAN, AL 36301-4117
(334) 769-2003
(334) 769-2004
Mailing address
1324 ROSS CLARK CIR, DOTHAN, AL 36301-4117
(334) 769-2003
(334) 769-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
01/31/2024
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