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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