Organization
NEO PT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SHANE RUSSELL A.T.C. (ADMINISTRATOR)
(256) 456-0563
Entity
Organization
Contact information
Practice address
507 S 4TH ST, GADSDEN, AL 35901-5216
(256) 456-0563
Mailing address
507 S 4TH ST, GADSDEN, AL 35901-5216
(256) 456-0563
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTH 3100
AL
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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