# DRAYER PHYSICAL THERAPY - ALABAMA, LLC

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

## Provider details

- **NPI number:** 1700442456
- **Authorized official:** KEVIN JOHANNESON (VP OF REVENUE CYCLE)
- **Authorized official phone:** (423) 238-2313

## Contact information

- **Practice address:** 1000 RV TRCE, HOOVER, AL 35244-8000
- **Practice address phone:** (205) 739-2069
- **Practice address fax:** (205) 460-1259
- **Mailing address:** 8205 PRESIDENTS DR FL 2, HUMMELSTOWN, PA 17036-8621
- **Mailing address phone:** (717) 839-2159
- **Mailing address fax:** (717) 565-1104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 05/17/2019
- **Last updated:** 05/30/2019