Southern Spine and Sport

NPI #1235907338 in Enterprise, Alabama

Provider Information

NPI Number: 1235907338
Entity Type: Organization
Organization Name: Southern Spine and Sport
Primary Specialty: Physical Therapist
Enumeration Date: Dec 18, 2023
Last Updated: Dec 18, 2023

Practice Location

Address: 2200 OZARK HWY
City: Enterprise
State: Alabama
ZIP Code: 36330-8231
Phone: (850) 860-0884

Authorized Official

Name: RUSSELL SALMON, DPT
Title: OWNER
Phone: (850) 860-0884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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