Organization
PARK SOUTH PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD DUNCAN CROWDER (PRESIDENT)
(256) 378-3390
Entity
Organization
Contact information
Practice address
33310 US HIGHWAY 280, CHILDERSBURG, AL 35044-3121
(256) 378-3390
(256) 378-3391
Mailing address
33310 US HIGHWAY 280, CHILDERSBURG, AL 35044-3121
(256) 378-3390
(256) 378-3391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
288
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH288
PT LICENSE
AL
Enumeration date
01/25/2007
Last updated
04/09/2013
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