Kimberly    Bonner    RPT
Contract Details
Tuscaloosa Physical Therapy Center, Inc
Facility name
Provider ID
P000000169
Tax ID
631114198
Effective Date
12/1/1997
Last Updated
9/29/2016
Direct Contract
Yes
Term Date
9/27/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1725 University Blvd East
Tuscaloosa, AL 35405
United States
County
Tuscaloosa
Phone
2055562110 (Phone)
Billing Details
Address
Specialty Type
Physical Therapy
Map
Address