Organization
ENCORE REHABILITATION, INC.
Active
Other names
Encore Rehab of Centreville
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HENDERSON (PRESIDENT)
(256) 350-1764
Entity
Organization
Contact information
Practice address
122 WALNUT ST, BRENT, AL 35034-4054
(205) 926-5343
(205) 926-5345
Mailing address
251 JOHNSTON ST SE, SUITE 300, DECATUR, AL 35601-2515
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
08/29/2012
Last updated
01/09/2015
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