Organization
P4 PHYSICAL THERAPY- BLAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (REVENUE CYCLE MANAGER)
(205) 607-0632
Entity
Organization
Contact information
Practice address
1999 RUTLEDGE PIKE, BLAINE, TN 37709
(865) 498-6900
Mailing address
8059 MITCHELL LN, VESTAVIA HILLS, AL 35216-6821
(205) 478-4418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
07/27/2021
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