Contract Details
Facility name
Drayer Physical Therapy Institute
Provider ID
P000002090
NPI
1851605836
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
2910 Morgan Road Suite 110
Bessemer, AL 35022
United States
County
Jefferson
Phone
2052300400 (Phone)
Billing Details
Address
2910 Morgan Road
Suite 110
Bessemer, AL 35022
Billing Phone
2052300400
Specialty Type
Physical Therapy
Map
Address