Jennifer    Spencer    RPT
Contract Details
TherapySouth--Alabaster/Pelham
Facility name
Provider ID
P000007535
NPI
1982867743
Tax ID
205548746
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
3569 Pelham Parkway Suite 7
Pelham, AL 35124
United States
County
Shelby
Phone
2056648404 (Phone)
Billing Details
Address
3569 Pelham Parkway
Suite 7
Pelham, AL 35124
Billing Phone
2056648404
Specialty Type
Physical Therapy
Map
Address