Organization
PHYSICAL THERAPY SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RODGER LAND D.P.T. (OWNER)
(251) 962-2149
Entity
Organization
Contact information
Practice address
12831 6TH ST, SUITES C AND D, LILLIAN, AL 36549-4166
(251) 962-2149
(251) 961-3815
Mailing address
12831 6TH ST, SUITES C AND D, LILLIAN, AL 36549-4166
(251) 962-2149
(251) 961-3815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3908
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11982
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
08/12/2005
Last updated
08/22/2020
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