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Stephen
M
Foster
RPT
Contract Details
Physiotherapy Associates / PT South
Facility name
Provider ID
P000000561
NPI
1073626206
Tax ID
630918690
Effective Date
3/1/1999
Last Updated
11/6/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1242 Martin St South
Pell City, AL 35128
United States
County
Saint Clair
Phone
2053386106
(
Phone
)
Billing Details
Address
Specialty Type
Physical Therapy
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Address