Organization
BE ECCENTRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROA WILSON HARDY OTR/ L (OCCUPATIONAL THERAPIST)
(205) 213-2084
Entity
Organization
Contact information
Practice address
1704 RIDGEWOOD RD, BIRMINGHAM, AL 35215-4384
(205) 213-2084
Mailing address
1704 RIDGEWOOD RD, BIRMINGHAM, AL 35215-4384
(205) 213-2084
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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