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Contract Details
A Physiotherapy Associates Company
Facility name
Rehab Associates - East Montgomery
Provider ID
P000002361
NPI
1891704383
Tax ID
721379381
Effective Date
2/1/2006
Last Updated
2/26/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
464 Saint Lukes Drive
Montgomery, AL 36117
United States
County
Montgomery
Phone
3342446699
(
Phone
)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
Map
Address