NPI 1154662278
Icon Performance
Practice location
- Address
- 3156 Sunview Dr, Vestavia, AL 35243-5433
- Phone
- (205) 939-2914
Authorised official
- Name
- Terri Connell
- Title
- Credentialing Manager
- Phone
- (205) 259-3991
Registered specialties
Orthopedic Physical Therapist
Primary
Registry record
- NPI
- 1154662278
- Entity type
- Organization
- NPI issued
- 14 Mar 2013
- Record last updated
- 14 Mar 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.