Contract Details
Facility name
TherapySouth Liberty Park
Provider ID
P000002468
NPI
1730481029
Tax ID
273643259
Effective Date
2/15/2012
Last Updated
4/12/2018
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