Lydia  B  Olson    RPT
Contract Details
Drayer Physical Therapy Institute--Birmingham-Vestavia Hills
Facility name
Provider ID
P000001290
NPI
1750550505
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
2531 Rocky Ridge Road Suite 101
Birmingham, AL 35243
United States
County
Jefferson
Phone
2054539350 (Phone)
Billing Details
Address
2531 Rocky Ridge Road
Suite 101
Birmingham, AL 35243
Billing Phone
2054539350
Specialty Type
Physical Therapy
Map
Address