Organization
MADISON PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR DALE RUSSELL R.P.T. (PRESIDENT)
(256) 325-3280
Entity
Organization
Contact information
Practice address
7693 HIGHWAY 72 W, MADISON, AL 35758-8750
(256) 325-3280
(256) 325-3281
Mailing address
7693 HIGHWAY 72 W, MADISON, AL 35758-8750
(256) 325-3280
(256) 325-3281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTH255
AL
225100000X
Physical Therapist
Primary
PTH2852
AL
225100000X
Physical Therapist
PTH3369
AL
Other
Enumeration date
08/15/2006
Last updated
06/08/2010
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