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Organization

PHYSICAL THERAPY SPECIALISTS, INC.

Active
Other names
Elberta Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL R LAND D.P.T. (OWNER,PRESIDENT)
(251) 986-3155
Entity
Organization

Contact information

Practice address
25765 U.S. HIGHWAY 98, ELBERTA, AL 36530
(251) 986-3155
Mailing address
25765 U.S. HIGHWAY 98, ELBERTA, AL 36530
(251) 986-3155

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3908
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51531811
BCBS AL PROVIDER NUMBER
AL
Enumeration date
02/20/2007
Last updated
08/22/2020
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