Organization
CANCER REHAB & EDEMA SPECIALIST
Active
Organization
CANCER REHAB & EDEMA SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA TAYLOR P.T. (OWNER)
(251) 344-4212
Entity
Organization
Contact information
Practice address
4715 AIRPORT BLVD STE 310, MOBILE, AL 36608-3181
(251) 344-4212
(251) 344-4302
Mailing address
4715 AIRPORT BLVD STE 310, MOBILE, AL 36608-3181
(251) 344-4212
(251) 344-4302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933333
—
AL
Enumeration date
09/20/2006
Last updated
06/29/2010
Update your record
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