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Organization

PEDIATRIC PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL LAMBERT THAMES PT (OWNER)
(251) 450-0070
Entity
Organization

Contact information

Practice address
3202 OLD SHELL RD, MOBILE, AL 36607-2505
(251) 450-0070
(251) 450-0072
Mailing address
3202 OLD SHELL RD, MOBILE, AL 36607-2505
(251) 450-0070
(251) 450-0072

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTH2831
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51553156
BCBS
AL
05
529914200
AL
Enumeration date
09/20/2006
Last updated
06/16/2008
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