# THE THERAPY & WELLNESS GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advance Therapy & Performance Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740355239
- **Authorized official:** MARK A MASHBURN PT, OCS (PHYSICAL THERAPIST)
- **Authorized official phone:** (334) 699-2348

## Contact information

- **Practice address:** 3160 W MAIN ST, SUITE 1, DOTHAN, AL 36305-1185
- **Practice address phone:** (334) 699-2348
- **Practice address fax:** (334) 699-2347
- **Mailing address:** 3160 W MAIN ST, SUITE 1, DOTHAN, AL 36305-1185
- **Mailing address phone:** (334) 699-2348
- **Mailing address fax:** (334) 699-2347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/06/2007