Advance Pediatric & Adult Therapy,llc.

NPI #1053528869 in Northport, Alabama

Provider Information

NPI Number: 1053528869
Entity Type: Organization
Organization Name: Advance Pediatric & Adult Therapy,llc.
Primary Specialty: Physical Therapist
Enumeration Date: May 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 15631 QUAIL PT
City: Northport
State: Alabama
ZIP Code: 35475-2614
Phone: (205) 349-0995

Authorized Official

Name: MS. DEBRA G KOON, PT,ATC
Title: PRESIDENT
Phone: (205) 349-0995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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