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Contract Details
Facility name
Complete Physical Therapy
Provider ID
P000002060
Tax ID
630947549
Effective Date
8/11/2000
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
8097 Madison Boulevard Suite 102
Madison, AL 35758
United States
County
Madison
Phone
2564617173
(
Phone
)
Billing Details
Address
8097 Madison Boulevard
Suite 102
Madison, AL 35758
Billing Phone
2564617173
Specialty Type
Physical Therapy
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Address