Contract Details
Facility name
Drayer Physical Therapy Institute
Provider ID
P000002088
NPI
1598079576
Tax ID
753050291
Effective Date
12/1/2010
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
5/31/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1483 Gadsden Highway Suite 112
Birmingham, AL 35235
United States
County
Jefferson
Phone
2056559222 (Phone)
Billing Details
Address
1483 Gadsden Highway
Suite 112
Birmingham, AL 35235
Billing Phone
2056559222
Specialty Type
Physical Therapy
Map
Address