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) 433-1414
Entity
Organization
Contact information
Practice address
2048A S BROAD ST, BROOKLEY COMPLEX, MOBILE, AL 36615-1285
(251) 433-1414
(251) 433-9634
Mailing address
2048A S BROAD ST, 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
225100000X
Physical Therapist
PTH1919
AL
225100000X
Physical Therapist
PTH4083
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I650307
MEDICARE PTAN - DEBORAH NELSON - BROOKLEY
AL
01
—
510I650221
MEDICARE PTAN - BEVERLY WILKINS PT - BROOKLEY LOCATION
AL
01
—
510I650231
MEDICARE PTAN - WILLIAM H FARNELL - BROOKLEY LOCATION
AL
01
—
511-14905
BCBS - DEBORAH NELSON - BROOKLEY LOCATION
AL
Enumeration date
12/27/2006
Last updated
05/23/2016
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