NPI 1194228643
Icon Performance Physical Therapy
Practice location
- Address
- 3156 Sunview Dr, Vestavia, AL 35243-5433
- Phone
- (205) 259-3991
- Fax
- (205) 876-8063
Authorised official
- Name
- Charles Hall
- Title
- Member
- Phone
- (205) 259-3991
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1194228643
- Entity type
- Organization
- NPI issued
- 12 Mar 2018
- Record last updated
- 12 Mar 2018
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.