Contract Details
PT Solutions of Montgomery, LLC
Facility name
PT Solutions of South Montgomery
Provider ID
P000002318
NPI
1972533974
Tax ID
202210884
Effective Date
8/15/2010
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2065 East South Boulevard Suite 101
Montgomery, AL 36116
United States
County
Montgomery
Phone
3342888358 (Phone)
Billing Details
Address
P.O. Box 242187
Montgomery, AL 36124
Billing Phone
3342888358
Specialty Type
Physical Therapy
Map
Address