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Roxanne
Saint Martin
RPT
Contract Details
Rehab Associates--Montgomery-Jackson Hospital
Facility name
Provider ID
P000001529
Tax ID
721379381
Effective Date
8/28/1995
Last Updated
6/4/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1801 Pine Street Suite 102
Montgomery, AL 36106
United States
County
Montgomery
Phone
3342626161
(
Phone
)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
Map
Address