Organization
MARSH PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM O MARSH PT (OWNER/PT)
(205) 342-2546
Entity
Organization
Contact information
Practice address
1792 MCFARLAND BLVD N, SUITE B, TUSCALOOSA, AL 35406-2185
(205) 342-2546
(205) 342-2540
Mailing address
1792 MCFARLAND BLVD N, SUITE B, TUSCALOOSA, AL 35406-2185
(205) 342-2546
(205) 342-2540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-77696
KIM MARSH'S BC#
AL
Enumeration date
07/18/2005
Last updated
08/22/2020
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