Contract Details
Align Networks, Inc.
Facility name
Occupational Therapy of Gadsden
Provider ID
P000003394
NPI
1003988510
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Term Date
8/22/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
215 Walnut Street Suite 2
Gadsden, AL 35901
United States
County
Etowah
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address