David  B  Ballenger    RPT
Contract Details
Rehab Partners--Anniston
Facility name
Provider ID
P000007425
NPI
1831193309
Tax ID
631038932
Effective Date
6/1/1996
Last Updated
7/24/2018
Direct Contract
Yes
Term Date
5/1/2006
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
100 Bill Robinson Parkway Suite C
Anniston, AL 36201
United States
County
Calhoun
Phone
2568208555 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
Map
Address