Organization
INDUSTRIAL WELLNESS REHAB, INC.
Active
Other names
IWR Therapy Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA W SULLIVAN (VP- ACCTS RECEIVABLE MANAGER)
(251) 433-1414
Entity
Organization
Contact information
Practice address
7965 MOFFETT RD, SEMMES, AL 36575-5409
(251) 645-3708
(251) 645-5837
Mailing address
2048 S BROAD ST # A, BROOKLEY COMPLEX, MOBILE, AL 36615-1285
(251) 433-1414
(251) 433-9634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4083
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0515-17279
BCBS PROV#- W.H. FARNELL
AL
Enumeration date
03/05/2007
Last updated
03/14/2017
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