Organization
INNERFIT OF WETUMPKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M TATE JR. (OWNER)
(334) 270-1630
Entity
Organization
Contact information
Practice address
74186 TALLASSEE HWY STE B, WETUMPKA, AL 36092-5644
(334) 514-2220
(334) 514-2221
Mailing address
7088 UNIVERSITY CT, MONTGOMERY, AL 36117-6992
(334) 396-1400
(334) 396-2727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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