Organization
ONMARK PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY RUSSELL (PAYOR RELATIONS COORDINATOR)
(423) 238-8923
Entity
Organization
Contact information
Practice address
151 NARROWS PKWY STE D, BIRMINGHAM, AL 35242-8638
(205) 981-4534
(205) 981-4535
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8923
(423) 238-3222
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/04/2012
Last updated
04/05/2012
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