Organization
EXCEL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN TYLER HALE PT (OWNER)
(334) 285-0239
Entity
Organization
Contact information
Practice address
772 MONUMENT DR, MILLBROOK, AL 36054-1849
(334) 285-0239
(334) 285-9689
Mailing address
772 MONUMENT DR, MILLBROOK, AL 36054-1849
(334) 285-0239
(334) 285-9689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-30241
BCBS
AL
Enumeration date
12/18/2006
Last updated
10/11/2007
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