Organization
PROMISE PHYSICAL THERAPY INC.
Active
Organization
PROMISE PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN PRICE GRICE III PT, ATC (PRESIDENT)
(334) 358-2201
Entity
Organization
Contact information
Practice address
640 MCQUEEN SMITH RD N, PRATTVILLE, AL 36066-7511
(334) 358-2201
(334) 358-2236
Mailing address
640 MCQUEEN SMITH RD N, PRATTVILLE, AL 36066-7511
(334) 358-2201
(334) 358-2236
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT1534
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51515426
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/12/2006
Last updated
06/07/2013
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