Icon Performance

NPI 1154662278 - Physical Therapist - 2251X0800X

NPI Details
NPI 1154662278
Enumeration Date 03/14/2013
Last Updated 03/14/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TERRI TERRI
Position CREDENTIALING MANAGER
Phone (205) 939-2914
Fax
Practice Location
3156 SUNVIEW DR
VESTAVIA AL, 35243-5433, US
Phone (205) 939-2914
Fax
Business Location
3156 SUNVIEW DR
VESTAVIA AL, 35243-5433, US
Phone (205) 939-2914
Fax
Toxanomy
Taxonomy Code 2251X0800X
License State
License Number
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According to our database, Icon Performance NPI is 1154662278, taxonomy code is 2251X0800X Icon Performance physically located at 3156 Sunview Dr, Vestavia AL, 35243-5433. NPI Number 1033115704 has the healthcare provider type.

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1154662278 NPI number is provided on an as is basis without warranty of any kind. 1154662278 is maintained by the National Plan & Provider Enumeration System. The contents of Icon Performance are for informational purposes only.