Derek  L  Babin    OTR
Contract Details
Tuscaloosa Rehab and Hand Center
Facility name
Provider ID
P000000069
NPI
1033159165
Tax ID
202215246
Effective Date
5/15/2005
Last Updated
8/29/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
3835 Watermelon Road Suite E
Northport, AL 35473
United States
County
Tuscaloosa
Phone
2057592211 (Phone)
Billing Details
Address
3835 Watermelon Road
Suite E
Northport, AL 35473
Billing Phone
2057592211
Specialty Type
Occupational Therapy
Map
Address