Provider Demographics
NPI:1649710237
Name:ROBERT L FLEMING III DPT LLC
Entity type:Organization
Organization Name:ROBERT L FLEMING III DPT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:III
Authorized Official - Credentials:DPT
Authorized Official - Phone:251-380-1111
Mailing Address - Street 1:709 DOWNTOWNER LOOP W
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5503
Mailing Address - Country:US
Mailing Address - Phone:251-380-1111
Mailing Address - Fax:251-380-1110
Practice Address - Street 1:709 DOWNTOWNER LOOP W
Practice Address - Street 2:SUITE B
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5503
Practice Address - Country:US
Practice Address - Phone:251-380-1111
Practice Address - Fax:251-380-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty