Organization
OUTPATIENT PHYSICAL THERAPY SIMON WILLIAMSON CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA D ELLARD (PT RECEPTIONIST)
(205) 397-4949
Entity
Organization
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 397-4949
(205) 397-4971
Mailing address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 397-4949
(205) 397-4971
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PTH4676
AL
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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