Contract Details
Align Networks, Inc.
Facility name
Robert Funk & Associates Physical Therapy
Provider ID
P000003425
NPI
1891837712
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Term Date
8/23/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2345 Moody Parkway Suite 206
Moody, AL 35004
United States
County
Saint Clair
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address