Organization
FOUNDATIONAL PHYSICAL THERAPY & MESSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY KAY WILHELM PT LMT (OWNER OF LLC)
(251) 458-3570
Entity
Organization
Contact information
Practice address
319 PINEHILL DRIVE, MOBILE, AL 36606-1735
(251) 458-3570
(251) 865-9436
Mailing address
5350 GRAND BAY WILMER RD SOUTH, GRAND BAY, AL 36541-5438
(251) 458-3570
(251) 865-9436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4Z16
AL
225700000X
Massage Therapist
2268
AL
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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