Trent    Nessler    RPT
Contract Details
Rehab Associates--Birmingham-Montclair Road
Facility name
Provider ID
P000001253
NPI
1043234784
Tax ID
721379381
Effective Date
3/1/1999
Last Updated
6/5/2014
Direct Contract
Yes
Term Date
6/5/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
720 Montclair Road Suite 102
Birmingham, AL 35242
United States
County
Shelby
Phone
2055958121 (Phone)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
Map
Address