Provider Demographics
NPI:1174012421
Name:RIVER REGION PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:RIVER REGION PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSWALD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:334-568-2121
Mailing Address - Street 1:266 INTERSTATE COMMERCIAL PARK LOOP
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-7361
Mailing Address - Country:US
Mailing Address - Phone:334-568-2121
Mailing Address - Fax:334-568-2124
Practice Address - Street 1:266 INTERSTATE COMMERCIAL PARK LOOP
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-7361
Practice Address - Country:US
Practice Address - Phone:334-568-2121
Practice Address - Fax:334-568-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4014261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy