Provider Demographics
NPI:1851301410
Name:SARALAND PHYSICAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:SARALAND PHYSICAL THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-679-0015
Mailing Address - Street 1:75 SHELL ST
Mailing Address - Street 2:STE 201
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-2126
Mailing Address - Country:US
Mailing Address - Phone:251-679-0015
Mailing Address - Fax:251-679-0091
Practice Address - Street 1:75 SHELL ST
Practice Address - Street 2:STE 201
Practice Address - City:SARALAND
Practice Address - State:AL
Practice Address - Zip Code:36571-2126
Practice Address - Country:US
Practice Address - Phone:251-679-0015
Practice Address - Fax:251-679-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty