Organization
A.C.T. PHYSICAL THERAPY. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILENE P HAYES (CO-OWNER)
(205) 824-8850
Entity
Organization
Contact information
Practice address
1310 ALFORD AVE, SUITE 102, HOOVER, AL 35226-3199
(205) 824-8850
(205) 824-8853
Mailing address
PO BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529927480
—
AL
01
—
DF0049
RAILROAD MEDICARE GROUP #
AL
Enumeration date
10/04/2006
Last updated
03/11/2010
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