Joseph  B  Pierce  Jr  RPT
Contract Details
The Physical Therapy Center
Facility name
Provider ID
P000006679
NPI
1710964929
Tax ID
460910493
Effective Date
10/15/2012
Last Updated
2/26/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
105.00
Fee Schedule Multiplier
Location Details
Address
1811 Old Shell Road
Mobile, AL 36607
United States
County
Mobile
Phone
2514791149 (Phone)
Billing Details
Address
1811 Old Shell road
Mobile, AL 366073416
Billing Phone
2514791149
Specialty Type
Physical Therapy
Map
Address