Organization
ALABAMA PHYSICAL REHABILITATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L KLUG PT (OWNER/ADMINISTRATOR)
(256) 435-9386
Entity
Organization
Contact information
Practice address
1475 1ST AVE SW, JACKSONVILLE, AL 36265-3337
(256) 435-9386
(256) 435-2053
Mailing address
1475 1ST AVE SW, JACKSONVILLE, AL 36265-3337
(256) 435-9386
(256) 435-2053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0803
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529601780
—
AL
Enumeration date
05/02/2006
Last updated
05/28/2013
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