Organization
SUMLAR THERAPY SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA M FAIN CPC, CPO (BUSINESS OPERATIONS MANAGER)
(334) 445-6336
Entity
Organization
Contact information
Practice address
193 SAM LISENBY RD, OZARK, AL 36360-3048
(334) 445-6336
(334) 445-6363
Mailing address
193 SAM LISENBY RD, OZARK, AL 36360-3048
(334) 445-6336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529905230
—
AL
Enumeration date
02/12/2007
Last updated
01/06/2022
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