Organization
THERAPY SOUTH MOUNTAIN BROOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH KELLY (CREDENTIALING SPECIALIST)
(205) 745-3660
Entity
Organization
Contact information
Practice address
205 COUNTRY CLUB PARK, BIRMINGHAM, AL 35213-4237
(205) 822-7607
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
12/05/2008
Last updated
05/23/2019
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