Christopher  T  Lynch    OTR
Contract Details
Trussville Rehab
Facility name
Provider ID
P000001028
NPI
1316907272
Tax ID
631156852
Effective Date
4/1/1999
Last Updated
6/10/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4901 Deerfoot Parkway
Trussville, AL 35173
United States
County
Jefferson
Phone
2056610810 (Phone)
Billing Details
Address
P.O. Box 175
Trussville, AL 35173
Specialty Type
Occupational Therapy
Map
Address