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Organization

KRISTJAN FRIDRIKSSON PHYSICAL THERAPY SERVICES, INC

Active
Other names
Grelot Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KRISTJAN INGI FRIDRIKSSON PT (OWNER/PRESIDENT)
(251) 343-1178
Entity
Organization

Contact information

Practice address
5901 GRELOT RD, BUILDING B, SUITE B, MOBILE, AL 36609-3603
(251) 343-1178
(251) 343-1741
Mailing address
5901 GRELOT RD, BUILDING B, SUITE B, MOBILE, AL 36609
(251) 343-1178
(251) 343-1741

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTH3558
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51501631
BCBS OF ALABAMA
AL
Enumeration date
07/06/2006
Last updated
11/29/2012
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