Healthcare Provider Details

I. General information

NPI: 1609438498
Provider Name (Legal Business Name): T & C REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 07/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 9TH AVE SW STE 104
BESSEMER AL
35022-4502
US

IV. Provider business mailing address

650 9TH AVE SW STE 104
BESSEMER AL
35022-4502
US

V. Phone/Fax

Practice location:
  • Phone: 205-425-5428
  • Fax: 205-425-7590
Mailing address:
  • Phone: 205-425-5428
  • Fax: 205-425-7590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DONOVAN HARPER
Title or Position: OWNER
Credential: DC
Phone: 205-305-1710