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Organization
NEUROACTIVE THERAPY AND WELLNESS LLC
Active
Organization
NEUROACTIVE THERAPY AND WELLNESS LLC
Active
Other names
NeuroRecovery PT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA RAE KACZMAREK PT, DPT (OWNER)
(941) 539-4395
Entity
Organization
Contact information
Practice address
4500 CAHABA RIVER BLVD, HOOVER, AL 35216-6825
(941) 539-4395
Mailing address
4500 CAHABA RIVER BLVD, HOOVER, AL 35216-6825
(941) 539-4395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/26/2024
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