Julian  L  Magee    RPT
Contract Details
Drayer Physical Therapy Institute--Tuscaloosa
Facility name
Provider ID
P000001038
NPI
1508053877
Tax ID
753050291
Effective Date
12/1/2010
Last Updated
12/16/2013
Direct Contract
Yes
Term Date
12/16/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
501 Hargrove Road East Suite E
Tuscaloosa, AL 35401
United States
County
Tuscaloosa
Phone
2055239000 (Phone)
Billing Details
Address
501 Hargrove Road East
Suite E
Tuscaloosa, AL 35401
Billing Phone
Specialty Type
Physical Therapy
Map
Address