David  B  Wilkins    RPT
Contract Details
Bay Minette Physical Therapy Services
Facility name
Provider ID
P000001867
NPI
1346293073
Tax ID
721355075
Effective Date
12/1/1997
Last Updated
12/12/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1512 Highway 31 South
Bay Minette, AL 36507
United States
County
Baldwin
Phone
2515803232 (Phone)
Billing Details
Address
Specialty Type
Physical Therapy
Map
Address