Organization
EXPERIENCE PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVON BEARD (CEO)
(205) 276-0308
Entity
Organization
Contact information
Practice address
720 37TH ST S, BIRMINGHAM, AL 35222-3206
(205) 276-0308
Mailing address
805 MILL RUN LN, HOOVER, AL 35226-1834
(205) 276-0308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
06/03/2025
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