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Scott
Sall
RPT
Contract Details
TherapySouth--Birmingham-Vestavia Hills
Facility name
Provider ID
P000007437
NPI
1659436236
Tax ID
205071801
Effective Date
2/15/2012
Last Updated
1/30/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1944 Canyon Road Suite 100
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058227607
(
Phone
)
Billing Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
0254081713
Specialty Type
Physical Therapy
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Address