Organization
REHAB EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SHIVERS (COMMISSIONER)
(334) 281-8780
Entity
Organization
Contact information
Practice address
2129 E SOUTH BLVD, ADRS EARLY INTERVENTION, MONTGOMERY, AL 36116-2409
(334) 215-5044
Mailing address
2129 E SOUTH BLVD, P.O. BOX 11586, MONTGOMERY, AL 36116-2409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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