Tonia  M  Matwijczuk    RPT
Contract Details
Physiotherapy Associates
Facility name
Provider ID
P000002672
NPI
1750406419
Tax ID
382617193
Effective Date
7/21/2011
Last Updated
11/22/2011
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
104 Glen Oak Blvd Suite 120
Hendersonville, TN 37075
United States
County
Sumner
Phone
6153384391 (Phone)
Billing Details
Address
Specialty Type
Physical Therapy
Map
Address