Organization
RENEW REHAB AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KERRY RICHARDSON PT (OWNER)
(205) 695-5111
Entity
Organization
Contact information
Practice address
314 COLUMBUS AVE NW, VERNON, AL 35592-5703
(205) 695-5111
(205) 695-5110
Mailing address
PO BOX 1641, VERNON, AL 35592-1641
(205) 695-5111
(205) 695-5110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2757
AL
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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