Organization
TOTAL REHAB PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS EVANS P.T. (PHYSICAL THERAPIST)
(334) 821-2256
Entity
Organization
Contact information
Practice address
2515 E GLENN AVE, SUITE 104, AUBURN, AL 36830-6453
(334) 821-2256
(334) 826-8082
Mailing address
2515 E GLENN AVE, SUITE 104, AUBURN, AL 36830-6453
(334) 821-2256
(334) 826-8082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2853
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51512447
BLUECROSS BLUESHIELD
AL
01
—
P00039795
PALMETTOGB-RAILROAD
AL
Enumeration date
08/05/2007
Last updated
08/05/2007
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