Provider Demographics
NPI:1720569205
Name:ASTOUND PHYSICAL THERAPY
Entity Type:Organization
Organization Name:ASTOUND PHYSICAL THERAPY
Other - Org Name:ASTOUND PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-321-0799
Mailing Address - Street 1:104 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-2617
Mailing Address - Country:US
Mailing Address - Phone:251-321-0799
Mailing Address - Fax:251-321-0798
Practice Address - Street 1:104 5TH AVE
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-2617
Practice Address - Country:US
Practice Address - Phone:251-321-0799
Practice Address - Fax:251-321-0798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6465261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy