Christopher  T  Lynch    OTR
Contract Details
Trussville Hand Clinic
Facility name
Provider ID
P000001028
NPI
1316907272
Tax ID
203028684
Effective Date
3/1/2014
Last Updated
5/13/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4901 Deerfoot Parkway Suite A
Trussville, AL 35173
United States
County
Jefferson
Phone
2059609995 (Phone)
Billing Details
Address
P.O. Box 723
Trussville, AL 35173
Billing Phone
2059609995
Specialty Type
Occupational Therapy
Map
Address