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Bud
Garner
RPT
Contract Details
Southern Physical Rehab Network
Facility name
Provider ID
P000000595
Tax ID
631105473
Effective Date
8/28/1995
Last Updated
6/9/2014
Direct Contract
Yes
Term Date
8/30/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
APTOR Physical Therapy 1321 McFarland Boulevard East
Tuscaloosa, AL 35405
United States
County
Tuscaloosa
Phone
2053454441
(
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