Organization
SOUTHERN CARE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY PRIDGEN WALTERS PT (OWNER)
(256) 682-0616
Entity
Organization
Contact information
Practice address
230 HUGHES RD STE F, MADISON, AL 35758-1113
(256) 682-0616
Mailing address
230 HUGHES RD STE F, MADISON, AL 35758-1113
(256) 682-0616
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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