Organization
GAITWAY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL TULL PTA (OWNER)
(334) 872-7001
Entity
Organization
Contact information
Practice address
7224 SANDHURST AVE, TUSCALOOSA, AL 35405-6412
(334) 412-5077
(205) 210-5034
Mailing address
7224 SANDHURST AVE, TUSCALOOSA, AL 35405-6412
(334) 412-5077
(205) 210-5034
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
PTA3420
AL
261QP2000X
Physical Therapy Clinic/Center
Primary
PTH5121
AL
Other
Enumeration date
03/08/2011
Last updated
06/02/2023
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