# WIREGRASS THERAPY SOLUTIONS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629554662
- **Authorized official:** BRAD ALON LIPSCOMB DPT (OWNER)
- **Authorized official phone:** (334) 793-1081

## Contact information

- **Practice address:** 418 N FOSTER ST, DOTHAN, AL 36303-4545
- **Practice address phone:** (334) 793-1081
- **Practice address fax:** (334) 792-5900
- **Mailing address:** PO BOX 986, DOTHAN, AL 36302-0986
- **Mailing address phone:** (334) 791-1081
- **Mailing address fax:** (334) 792-7600

## Taxonomy

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

## Other

- **Enumeration date:** 07/12/2018
- **Last updated:** 07/12/2018