Organization
MAGIC CITY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SELF SPENCER DPT (PHYSICAL THERAPIST)
(205) 602-1848
Entity
Organization
Contact information
Practice address
1217 WILLOW LEAF CIRCLE, BIRMINGHAM, AL 35244
(205) 602-1848
Mailing address
1217 WILLOW LEAF CIR, HOOVER, AL 35244-4131
(205) 602-1848
(205) 293-3895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000000000
DO NOT HAVE SUCH NUMBERS
—
Enumeration date
05/21/2020
Last updated
02/04/2025
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