David  O  Sweatt    RPT
Contract Details
Peak Performance Physical Therapy
Facility name
Provider ID
P000001696
NPI
1700801768
Tax ID
721602437
Effective Date
11/1/2005
Last Updated
6/10/2016
Direct Contract
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2465 Mall Road
Florence, AL 35630
United States
County
Lauderdale
Phone
2567644242 (Phone)
Billing Details
Address
851 Cox Creek Parkway
Florence, AL 35630
Billing Phone
Specialty Type
Physical Therapy
Map
Address