Therapy South Jasper LLC

NPI #1861961666 in Jasper, Alabama

Provider Information

NPI Number: 1861961666
Entity Type: Organization
Organization Name: Therapy South Jasper LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 21, 2018
Last Updated: Nov 21, 2018

Practice Location

Address: 200 N AIRPORT RD STE 110
City: Jasper
State: Alabama
ZIP Code: 35504-7521
Phone: (205) 387-3266

Authorized Official

Name: STEPHEN FOSTER
Title: PRESIDENT
Phone: (205) 745-3660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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