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Organization
KINETIC OF MONTGOMERY, LLC
Active
Organization
KINETIC OF MONTGOMERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M TATE JR. (MANAGING PARTNER)
(334) 233-8283
Entity
Organization
Contact information
Practice address
6707 TAYLOR CIR, MONTGOMERY, AL 36117-7706
(334) 625-0209
(833) 626-0683
Mailing address
8355 CROSSLAND LOOP, MONTGOMERY, AL 36117-8483
(334) 270-1630
(334) 730-0499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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