Catherine  C  Bonner    RPT
Contract Details
TherapySouth--Birmingham-Greystone
Facility name
Provider ID
P000000168
NPI
1417067448
Tax ID
205395626
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
2807 Greystone Commercial Boulevard
Birmingham, AL 35242
United States
County
Shelby
Phone
2054081713 (Phone)
Billing Details
Address
2807 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054081713
Specialty Type
Physical Therapy
Map
Address