# THERAPY SOUTH MOUNTAIN BROOK

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

## Provider details

- **NPI number:** 1699910505
- **Authorized official:** HANNAH KELLY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (205) 745-3660

## Contact information

- **Practice address:** 205 COUNTRY CLUB PARK, BIRMINGHAM, AL 35213-4237
- **Practice address phone:** (205) 822-7607
- **Mailing address:** 2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/05/2008
- **Last updated:** 05/23/2019