Contract Details
Align Networks, Inc.
Facility name
Physiotherapy Associates
Provider ID
P000003403
NPI
1003913344
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
Term Date
8/23/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4524 Southlake Parkway Suite 6
Birmingham, AL 35244
United States
County
Jefferson
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
Specialty Type
Physical Therapy
Map
Address