Organization
THERAPY RESOURCES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA A BOLTON OTR (COO)
(256) 543-1030
Entity
Organization
Contact information
Practice address
1514 OWENS ST, GADSDEN, AL 35904-4938
(256) 543-1030
(256) 439-2830
Mailing address
1514 OWENS ST, GADSDEN, AL 35904-4938
(256) 543-1030
(256) 439-2830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K179
MEDICARE IDENTIFICATION N
AL
Enumeration date
08/30/2006
Last updated
04/20/2008
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