# PARK SOUTH PHYSICAL THERAPY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366598179
- **Authorized official:** EDWARD DUNCAN CROWDER (PRESIDENT)
- **Authorized official phone:** (256) 378-3390

## Contact information

- **Practice address:** 33310 US HIGHWAY 280, CHILDERSBURG, AL 35044-3121
- **Practice address phone:** (256) 378-3390
- **Practice address fax:** (256) 378-3391
- **Mailing address:** 33310 US HIGHWAY 280, CHILDERSBURG, AL 35044-3121
- **Mailing address phone:** (256) 378-3390
- **Mailing address fax:** (256) 378-3391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 288 | AL | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 04/09/2013