Park South Physical Therapy, P.c. | |
33310 Us Highway 280, Childersburg, AL 35044-3121 | |
(256) 378-3390 | |
(256) 378-3391 |
Full Name | Park South Physical Therapy, P.c. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 33310 Us Highway 280, Childersburg, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366598179 | NPI | - | NPPES |
PTH288 | Other | AL | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 288 (Alabama) | Primary |
Provider Name | Krystal C Fielding |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558454561 PECOS PAC ID: 9133264740 Enrollment ID: I20100308000419 |
Provider Name | Edward Crowder |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255389128 PECOS PAC ID: 6608822747 Enrollment ID: I20111108000305 |
Mailing Address | Practice Location Address |
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Park South Physical Therapy, P.c. 33310 Us Highway 280, Childersburg, AL 35044-3121 Ph: (256) 378-3390 | Park South Physical Therapy, P.c. 33310 Us Highway 280, Childersburg, AL 35044-3121 Ph: (256) 378-3390 |
Mr. Edward D Crowder, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33310 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3390 | |
Ms. Margaret B Crowder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33310 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3390 |