Contract Details
A Physiotherapy Associates Company
Facility name
Rehab Associates - Wetumpka
Provider ID
P000002364
NPI
1346259801
Tax ID
721379381
Effective Date
7/1/2011
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
74240 Tallassee Highway
Wetumpka, AL 36092
United States
County
Elmore
Phone
3345144488 (Phone)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
Map
Address