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NPI Code Detail

MEDICARE: RESTORE THERAPY SERVICES, LTD

MEDICARE: RESTORE THERAPY SERVICES, LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2231H00000XAudiologist
3235Z00000XSpeech-Language Pathologist
4225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111968OTHERALAL STATE BOARD OF HEALTH
2011220OTHERALBCBS

General Provider Information

NPI Number : 1629437181
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESTORE THERAPY SERVICES, LTD
Provider Business Mailing Address
First Line : 245 CAHABA VALLEY PKWY
Second Line : SUITE 200
City : PELHAM
State : AL
Zip : 35124-2216
Country : US
Telephone Number : 205-942-6820
Fax Number :
Provider Business Practice Location Address
First Line : 500 SPANISH FORT BLVD
Second Line :
City : SPANISH FORT
State : AL
Zip : 36527-5018
Country : US
Telephone Number : 205-942-6820
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : DEBBIE B KNOWLES
Credential :
Telephone Number : 205-942-6820
Provider Enumeration Date : 02/12/2016
Last Update Date : 07/05/2016

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Directions to “RESTORE THERAPY SERVICES, LTD ” Practice Location

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