Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE C WILSON (KINESIOTHERAPIST)
(205) 554-3797
Entity
Organization
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
4435 MONTE VISTA CIR, TUSCALOOSA, AL 35405-4632
(205) 556-3993
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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