Organization
ICON PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HALL (MEMBER)
(205) 259-3991
Entity
Organization
Contact information
Practice address
3156 SUNVIEW DR, VESTAVIA, AL 35243-5433
(205) 259-3991
(205) 876-8063
Mailing address
3156 SUNVIEW DR, VESTAVIA, AL 35243-5433
(205) 259-3991
(205) 876-8063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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