Nicole    Woods    RPT
Contract Details
TherapySouth--Birmingham-Vestavia Hills
Facility name
Provider ID
P000007526
NPI
1891887303
Tax ID
205071801
Effective Date
2/15/2012
Last Updated
11/6/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1944 Canyon Road Suite 100
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058227607 (Phone)
Billing Details
Address
1944 Canyon Road
Suite 100
Birmingham, AL 35216
Billing Phone
2058227607
Specialty Type
Physical Therapy
Map
Address