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Contract Details
Facility name
Select Physical Therapy
Provider ID
P000002402
NPI
1396714283
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
2030 Cecil Ashburn Drive Southeast Suite 100
Huntsville, AL 35802
United States
County
Madison
Phone
2568807776
(
Phone
)
Billing Details
Address
P.O. Box 534509
Atlanta, GA 30353
Billing Phone
2568807776
Specialty Type
Physical Therapy
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