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Contract Details
Excellence in Rehabilitation
Facility name
IPT
Provider ID
P000002211
NPI
1104119940
Tax ID
452150831
Effective Date
7/1/2011
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
8/7/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
3439 Colonnade Parkway Suite 700
Birmingham, AL 35243
United States
County
Jefferson
Phone
2058799425
(
Phone
)
Billing Details
Address
P.O. Box 1569
Pelham, AL 35124
Billing Phone
8665357631
Specialty Type
Physical Therapy
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Address