Kerrie    Girouard    OTR
Contract Details
TherapySouth--Pelham/Alabaster
Facility name
Provider ID
P000007537
NPI
1861693814
Tax ID
205548746
Effective Date
2/15/2012
Last Updated
12/19/2017
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
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054081713
Specialty Type
Occupational Therapy
Map
Address