Individual
MICHAEL R. LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
12831 6TH ST, SUITE C&D, LILLIAN, AL 36549-4166
(251) 962-2149
(251) 961-3815
Mailing address
12831 6TH ST, SUITE C&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
—
51511982
BC BS AL
AL
Enumeration date
02/16/2007
Last updated
07/08/2007
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