Contract Details
Align Networks, Inc.
Facility name
Total Life Connection Physical Therapy Center
Provider ID
P000003448
NPI
1013199876
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Term Date
8/26/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
6709 Taylor Circle
Montgomery, AL 36117
United States
County
Montgomery
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address