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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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