# THERAPY SOUTH PELL CITY, LLC

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

## Provider details

- **NPI number:** 1801991880
- **Authorized official:** MRS. HANNAH KELLY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (205) 745-3660

## Contact information

- **Practice address:** 85 PLAZA DR, PELL CITY, AL 35125-9313
- **Practice address phone:** (205) 338-6106
- **Mailing address:** 2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
- **Mailing address phone:** (205) 745-3660
- **Mailing address fax:** (205) 745-3649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PTH3815 | AL | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 05/04/2022