Elizabeth  S  Moorman    RPT
Contract Details
Alabama Spine & Rehabilitation Center
Facility name
Provider ID
P000008022
NPI
1083807838
Tax ID
452484910
Effective Date
8/18/2014
Last Updated
9/10/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2017 Canyon Road Suite 21
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058228320 (Phone)
Billing Details
Address
2017 Canyon Road
Suite 21
Birmingham, AL 35216
Billing Phone
2058228320
Specialty Type
Physical Therapy
Map
Address