Contract Details
Align Networks, Inc.
Facility name
TherapySouth Fultondale
Provider ID
P000003442
NPI
1972787687
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3471 Lowery Parkway Suite 107
Fultondale, AL 35068
United States
County
Jefferson
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address