Steven Dennis    Estrada    RPT
Contract Details
ACT Physical Therapy
Facility name
Provider ID
P000000510
NPI
1548482524
Tax ID
270134113
Effective Date
1/16/2006
Last Updated
6/6/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
3532 Vann Road Suite 102
Birmingham, AL 35235
United States
County
Jefferson
Phone
2055083415 (Phone)
Billing Details
Address
P.O. Box 661495
Birmingham, AL 35266
Billing Phone
2059795882
Specialty Type
Physical Therapy
Map
Address