Organization
ADVANCE PEDIATRIC & ADULT THERAPY,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA G KOON PT,ATC (PRESIDENT)
(205) 349-0995
Entity
Organization
Contact information
Practice address
15631 QUAIL PT, NORTHPORT, AL 35475-2614
(205) 349-0995
(205) 349-0995
Mailing address
PO BOX 20429, TUSCALOOSA, AL 35402-0429
(205) 349-0995
(205) 349-0995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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