# FYZICAL OF MONTGOMERY, LLC

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

## Provider details

- **NPI number:** 1639712656
- **Authorized official:** DUSTIN CLARY PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (334) 593-4462

## Contact information

- **Practice address:** 129 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
- **Practice address phone:** (334) 593-4462
- **Practice address fax:** (334) 593-4135
- **Mailing address:** 5923 MONTICELLO DR, MONTGOMERY, AL 36117-1940
- **Mailing address phone:** (334) 593-4462
- **Mailing address fax:** (334) 593-4135

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2019
- **Last updated:** 03/30/2021