# THERAPY SOUTH TALLADEGA, LLC

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

## Provider details

- **NPI number:** 1558411678
- **Authorized official:** STEPHEN FOSTER (PRESIDENT)
- **Authorized official phone:** (205) 745-3660

## Contact information

- **Practice address:** 125 STEPHEN J WHITE MEMORIAL BLVD, TALLADEGA, AL 35160-2106
- **Practice address phone:** (256) 315-9693
- **Mailing address:** 2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
- **Mailing address phone:** (205) 745-3660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PTH848 | AL | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 05/23/2019
