Josh    Steed    RPT
Contract Details
TherapySouth--Birmingham-Liberty Park/Irondale
Facility name
Provider ID
P000007540
NPI
1659411015
Tax ID
273643259
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
3800 River Run Drive Suite 102
Birmingham, AL 35243
United States
County
Jefferson
Phone
2059702350 (Phone)
Billing Details
Address
3800 River Run Drive
Suite 102
Birmingham, AL 35243
Billing Phone
2059702350
Specialty Type
Physical Therapy
Map
Address