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Sandy
Edwards
RPT
Contract Details
Southern Physical Rehab Network
Facility name
Provider ID
P000007435
NPI
1396869616
Tax ID
753251370
Effective Date
1/1/2009
Last Updated
9/10/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
TherapySouth--Bessemer/McCalla 4774 Eastern Valley Road, Suite 109
Bessemer, AL 35111
United States
County
Tuscaloosa
Phone
2054771501
(
Phone
)
Billing Details
Address
TherapySouth--Bessemer/McCalla
4774 Eastern Valley Road, Suite 109
Bessemer, AL 35111
Billing Phone
2567369926
Specialty Type
Physical Therapy
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