Brittney    Gould    RPT
Contract Details
Drayer Physical Therapy Institute--Birmingham-Greystone
Facility name
Provider ID
P000000638
NPI
1710209762
Tax ID
753050291
Effective Date
12/1/2010
Last Updated
8/26/2014
Direct Contract
Yes
Term Date
5/31/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
United States
County
Shelby
Phone
2054539400 (Phone)
Billing Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054539400
Specialty Type
Physical Therapy
Map
Address