Organization
DRAYER PHYSICAL THERAPY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BENETTO (PROVIDER ENROLLMENT MANAGER)
(423) 238-8923
Entity
Organization
Contact information
Practice address
55 W SHORTCUT RD, NEWPORT, PA 17074-8710
(423) 541-5490
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/14/2019
Last updated
12/14/2019
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