Organization
RESTORE FLORALA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE B KNOWLES (ADMINISTRATOR)
(205) 942-6820
Entity
Organization
Contact information
Practice address
23621 GOLDENROD AVE, FLORALA, AL 36442-3652
(205) 942-6820
Mailing address
245 CAHABA VALLEY PKWY, PELHAM, AL 35124-2216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011220
BCBS
AL
01
—
11968
AL STATE BORAD OF HEALTH
AL
Enumeration date
03/14/2016
Last updated
03/14/2016
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