Andrew  M  Hatch  Jr  RPT
Contract Details
Pro Health Physical Therapy
Facility name
Provider ID
P000000727
NPI
1437180809
Tax ID
260468379
Effective Date
9/20/2005
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1102 DeKalb Plaza Boulevard Southwest
Fort Payne, AL 35967
United States
County
De Kalb
Phone
2569979991 (Phone)
Billing Details
Address
1102 DeKalb Plaza Boulevard Southwest
Fort Payne, AL 35967
Billing Phone
2569979991
Specialty Type
Physical Therapy
Map
Address