Organization
DOTHAN THERAPY ASSOCIATES INC
Active
Parent organization
DOTHAN THERAPY ASSOCIATES INC
Other names
Physical Therapy Specialists of Dothan
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOTHAN THERAPY ASSOCIATES INC
Authorized official
CHARLES OUTLAW PT (OWNER)
(334) 673-2422
Entity
Organization
Contact information
Practice address
3118 ROSS CLARK CIRCLE, DOTHAN, AL 36303
(334) 673-2422
(334) 673-2425
Mailing address
3118 ROSS CLARK CIRCLE, DOTHAN, AL 36303
(334) 673-2422
(334) 673-2425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529912880
—
AL
01
—
Q677
BC BS OF ALABAMA GROUP #
AL
Enumeration date
10/02/2006
Last updated
09/27/2022
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