Organization
BODY LOGIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY BROCK HIGGINBOTHAM MS, PT (CLINICAL DIRECTOR)
(334) 380-5920
Entity
Organization
Contact information
Practice address
7150 HALCYON PARK DR, MONTGOMERY, AL 36117-7713
(334) 380-5920
(334) 380-5921
Mailing address
PO BOX 242817, MONTGOMERY, AL 36124-2817
(334) 380-5920
(334) 380-5921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2937
AL
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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