Organization
FOURROUX THERAPY SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM KEITH WATSON CPO (OWNER)
(256) 534-8672
Entity
Organization
Contact information
Practice address
2743 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4103
(256) 534-8672
(256) 539-9755
Mailing address
2743 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4103
(256) 534-8672
(256) 539-9755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18990
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532259
BLUE CROSS BLUE SHIELD
AL
05
—
529928640
—
AL
01
—
631283106
TRICARE
—
Enumeration date
07/23/2006
Last updated
02/04/2013
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