Cathy  T  Sanford    RPT
Contract Details
Therapy Options
Facility name
Provider ID
P000001550
NPI
1740275726
Tax ID
631191847
Effective Date
12/11/2006
Last Updated
4/7/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
600 Whitesport Cir, Southwest Suite C
Huntsville, AL 35801
United States
County
Madison
Phone
2565120941 (Phone)
Billing Details
Address
Specialty Type
Physical Therapy
Map
Address