Individual
ALEX THOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12000 TURNMEYER DR SE, HUNTSVILLE, AL 35803-3358
(800) 724-5535
Mailing address
105 TRIGGER TRL, ARDMORE, AL 35739-9547
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA10278
AL
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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