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Organization
THERAPY SOUTH LLC FULTONDALE
Active
Organization
THERAPY SOUTH LLC FULTONDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAYES (DIRECTOR ENROLLMENT)
(205) 745-3651
Entity
Organization
Contact information
Practice address
3471 LOWERY PKWY, SUITE 107, FULTONDALE, AL 35068-1680
(205) 849-6566
(205) 849-6563
Mailing address
2807 GREYSTONE COMMERCIAL BLVD, SUITE 34, BIRMINGHAM, AL 35242-9600
(205) 745-3660
(205) 408-4209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
07/23/2014
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