Organization
GODSPEED ESA HOOVER INC.
Active
Other names
Godspeed Elite Sports Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HAWTHORNE MS (CREDENTIALING AND BILLING MANAGER)
(205) 292-2428
Entity
Organization
Contact information
Practice address
110 LITTLE VALLEY CT, HOOVER, AL 35244-2002
(205) 292-2428
Mailing address
110 LITTLE VALLEY CT, HOOVER, AL 35244-2002
(205) 292-2428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
12/15/2021
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