Stephen  M  Foster    RPT
Contract Details
Physiotherapy Associates / PT South
Facility name
Provider ID
P000000561
NPI
1073626206
Tax ID
630918690
Effective Date
3/1/1999
Last Updated
11/6/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1242 Martin St South
Pell City, AL 35128
United States
County
Saint Clair
Phone
2053386106 (Phone)
Billing Details
Address
Specialty Type
Physical Therapy
Map
Address