Contract Details
Physiotherapy Associates, Inc
Facility name
Physiotherapy Associates
Provider ID
P000002340
NPI
1245259340
Tax ID
382617193
Effective Date
7/21/2011
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
21748 State Road 54 Suite 101
Lutz, FL 33549
United States
County
Hillsborough
Phone
8139488443 (Phone)
Billing Details
Address
Specialty Type
Physical Therapy
Map
Address