Organization
TRI-VISTA REHAB, INC.
Active
Other names
Tri-Vista Rehab - Birmingham
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BOUTIN OTR (PRESIDENT)
(662) 231-7304
Entity
Organization
Contact information
Practice address
2160 HIGHLAND AVE S, BIRMINGHAM, AL 35205-4002
(662) 231-7304
Mailing address
PO BOX 3592, TUPELO, MS 38803-3592
(662) 840-0535
(662) 842-7915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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