Organization
THERAPY SOUTH PELL CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HANNAH KELLY (CREDENTIALING SPECIALIST)
(205) 745-3660
Entity
Organization
Contact information
Practice address
85 PLAZA DR, PELL CITY, AL 35125-9313
(205) 338-6106
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
(205) 745-3660
(205) 745-3649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTH3815
AL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/14/2006
Last updated
05/04/2022
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