Organization
INDUSTRIAL WELLNESS REHAB, INC
Active
Other names
IWR Therapy Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA W SULLIVAN (VP-ACCTS RECEIVABLE MANAGER)
(251) 586-0067
Entity
Organization
Contact information
Practice address
3280 DAUPHIN ST, SUITE B,100A, MOBILE, AL 36606-4060
(251) 586-0067
(251) 586-0071
Mailing address
2048 S BROAD ST # A, BROOKLEY COMPLEX, MOBILE, AL 36615-1285
(251) 433-1414
(251) 433-9634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1122
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51517279
BC PROV #-BEVERLY WILKINS
AL
Enumeration date
03/05/2007
Last updated
08/22/2020
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