Organization · Type 2 NPI
Southern Therapy Associates
Comprehensive Outpatient Rehabilitation Facility (CORF) · Edison, GA
NPI number
1013253376
Active
Practice location
19350 Hartford St
Edison, GA 39846-5617
Fax (229) 835-2119
Mailing address
PO Box 746
Edison, GA 39846-0746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | None listed |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
About NPI 1013253376
Southern Therapy Associates's National Provider Identifier is 1013253376, issued on Dec 13, 2012. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Edison, GA. The record was last updated on Dec 13, 2012.