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Tom
G
Rider
RPT
Contract Details
Southern Physical Rehab Network
Facility name
Provider ID
P000007422
NPI
1518044171
Tax ID
631055332
Effective Date
3/9/1998
Last Updated
6/9/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
Physical Therapy of Andalusia 1105 West Bypass
Andalusia, AL 36420
United States
County
Covington
Phone
3342225785
(
Phone
)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
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Address