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Contract Details
TherapySouth
Facility name
Provider ID
P000000001
NPI
1821660937
Tax ID
205370140
Effective Date
2/15/2012
Last Updated
2/14/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3421 South Shades Crest Road Suite 107
Birmingham, AL 35244
United States
Phone
205-987-6501 (Phone)
Billing Details
Address
3421 South Shades Crest Road
Suite 107
Birmingham, AL 35244
Billing Phone
205-987-6501
Specialty Type
Occupational Therapy
Website
Visit Website
Map
Address