Contract Details
Facility name
Drayer Physical Therapy Institute
Provider ID
P000002089
NPI
1235422908
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
720 Montclair Road Suite 202
Birmingham, AL 35213
United States
County
Jefferson
Phone
2057472710 (Phone)
Billing Details
Address
720 Montclair Road
Suite 202
Birmingham, AL 35213
Billing Phone
2057472710
Specialty Type
Physical Therapy
Map
Address