Organization
INNERFIT OF FOREST AVENUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M TATE JR. (OWNER)
(334) 396-1400
Entity
Organization
Contact information
Practice address
1510 FOREST AVE, MONTGOMERY, AL 36106-1517
(334) 262-2773
(334) 262-2775
Mailing address
7088 UNIVERSITY CT, MONTGOMERY, AL 36117-6992
(334) 396-1400
(334) 396-2727
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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