Icon Performance

NPI #1154662278 in Vestavia, Alabama

Provider Information

NPI Number
1154662278
Entity Type
Organization
Organization Name
Icon Performance
Primary Specialty
Physical Therapist - Orthopedic
Enumeration Date
Mar 14, 2013
Last Updated
Mar 14, 2013

Practice Location

Address
3156 SUNVIEW DR
State
Alabama
ZIP Code
35243-5433
Phone
(205) 939-2914

Authorized Official

Name
TERRI CONNELL
Title
CREDENTIALING MANAGER
Phone
(205) 259-3991

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic

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