Organization
THERAPY SOUTH GARDENDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN FOSTER (PRESIDENT)
(205) 745-3660
Entity
Organization
Contact information
Practice address
1011 MAIN ST, GARDENDALE, AL 35071-5401
(205) 651-4350
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, HOOVER, AL 35242-2660
(205) 745-3660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056514350
PHONE
AL
Enumeration date
01/05/2023
Last updated
03/01/2023
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