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Organization

DRAYER PHYSICAL THERAPY ALABAMA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN JOHANNESON (VP OF PAYOR REVENUE CYCLE MANAGEMEN)
(423) 238-2313
Entity
Organization

Contact information

Practice address
12420 WILDCAT DR UNIT B, NORTHPORT, AL 35475-4576
(205) 409-6090
(205) 409-6098
Mailing address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 839-2159
(717) 565-1104

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
11/22/2019
Last updated
11/22/2019
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