Organization
PEDIATRIC PHYSICAL THERAPY, LLC
Active
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
Update your record
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