Kerrie    Girouard    OTR
Contract Details
TherapySouth--Birmingham-Mountain Brook
Facility name
Provider ID
P000007537
NPI
1861693814
Tax ID
263761856
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
205 Country Club Park
Birmingham, AL 35213
United States
County
Jefferson
Phone
2058710777 (Phone)
Billing Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054081713
Specialty Type
Occupational Therapy
Map
Address