Ausie Jeffrey    Beams    RPT
Contract Details
Trinity Physical Therapy
Facility name
Provider ID
P000000098
NPI
1801975628
Tax ID
383795853
Effective Date
8/15/2010
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
7402 Highway 69 South Suite G
Tuscaloosa, AL 35405
United States
County
Tuscaloosa
Phone
2057585832 (Phone)
Billing Details
Address
6551 Highway 69 South
Suite B
Tuscaloosa, AL 35405
Billing Phone
2057585832
Specialty Type
Physical Therapy
Map
Address