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Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000002337
NPI
1962595868
Tax ID
382617193
Effective Date
3/1/1999
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
10/8/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
718 Academy Drive Suite 108
Bessemer, AL 35022
United States
County
Jefferson
Phone
2054287774
(
Phone
)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
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