# PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF EAST ALABAMA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1861972002
- **Authorized official:** DR. FREDERICK MANSUR AZIZ MD (PRESIDENT)
- **Authorized official phone:** (718) 216-8283

## Contact information

- **Practice address:** 267 FOB JAMES DR, VALLEY, AL 36854-5077
- **Practice address phone:** (718) 216-8283
- **Mailing address:** 716 BANBURY ST, AUBURN, AL 36832-3677
- **Mailing address phone:** (718) 216-8283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 35113 | AL | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 35113 | AL | — |

## Other

- **Enumeration date:** 08/17/2018
- **Last updated:** 08/17/2018