Organization
SOUTHERN SPINE AND SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SALMON DPT (OWNER)
(850) 860-0884
Entity
Organization
Contact information
Practice address
2200 OZARK HWY, ENTERPRISE, AL 36330-8231
(850) 860-0884
Mailing address
2200 OZARK HWY, ENTERPRISE, AL 36330-8231
(850) 860-0884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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