Organization
TBD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET STACY PT (PHYSICAL THERAPIST)
(205) 259-3991
Entity
Organization
Contact information
Practice address
76359 AL HIGHWAY 77, LINCOLN, AL 35096-5039
(205) 259-3991
(205) 683-2468
Mailing address
76359 AL HIGHWAY 77, LINCOLN, AL 35096
(205) 259-3991
(205) 683-2468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7544
AL
Other
Enumeration date
05/11/2015
Last updated
10/26/2015
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