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Organization
BAYSIDE PHYSICAL THERAPY, LLC
Active
Organization
BAYSIDE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STANLEY (CEO)
(251) 210-3210
Entity
Organization
Contact information
Practice address
341 GREENO RD N STE 102, FAIRHOPE, AL 36532-2979
(251) 928-9954
Mailing address
PO BOX 927, FAIRHOPE, AL 36533-0927
(251) 928-9954
(251) 210-3216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
10/04/2019
Last updated
01/07/2020
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