Howard  D  Salter    RPT
Contract Details
Performance Rehab
Facility name
Provider ID
P000001535
NPI
1801807680
Tax ID
631097894
Effective Date
12/1/2008
Last Updated
6/6/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1506 North McKenzie Street Suite 108
Foley, AL 36535
United States
County
Baldwin
Phone
2519703839 (Phone)
Billing Details
Address
1506 North McKenzie Street
Suite 108
Foley, AL 36535
Billing Phone
2519703839
Specialty Type
Physical Therapy
Map
Address