Organization
RESTORE THERAPY SERVICES, LTD
Active
Other names
Restore Spanish Fort
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE B KNOWLES (ADMINISTRATOR)
(205) 942-6820
Entity
Organization
Contact information
Practice address
500 SPANISH FORT BLVD, SPANISH FORT, AL 36527-5018
(205) 942-6820
Mailing address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011220
BCBS
AL
01
—
11968
AL STATE BOARD OF HEALTH
AL
Enumeration date
02/12/2016
Last updated
07/05/2016
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