Contract Details
Facility name
Select Physical Therapy
Provider ID
P000002398
Tax ID
631133454
Effective Date
12/1/1997
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
5/6/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
805 11th Street Southeast
Decatur, AL 35601
United States
County
Morgan
Phone
2563511100 (Phone)
Billing Details
Address
P.O. Box 534509
Atlanta, GA 30353
Billing Phone
2563511100
Specialty Type
Physical Therapy
Map
Address