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Barton Drake
Ibsen
RPT
Contract Details
Rehab Partners--Fort Payne
Facility name
Provider ID
P000000818
NPI
1417951112
Tax ID
631038932
Effective Date
5/1/2006
Last Updated
7/24/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
121 Drinkard Drive
Fort Payne, AL 35967
United States
County
De Kalb
Phone
2569979006
(
Phone
)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
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Address