Contract Details
Dothan Therapy Associates, Inc.
Facility name
Physical Therapy Specialists of Dothan
Provider ID
P000002332
NPI
1477647816
Tax ID
631180971
Effective Date
10/5/2002
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3118 Ross Clark Circle Suite 1
Dothan, AL 36303
United States
County
Houston
Phone
3346732422 (Phone)
Billing Details
Address
3118 Ross Clark Circle
Suite 1
Dothan, AL 36303
Billing Phone
3346732422
Specialty Type
Physical Medicine & Rehabilitation
Map
Address