Robert    Kohn  Jr  RPT
Contract Details
Aldridge Physical Therapy
Facility name
Provider ID
P000000931
NPI
1003858689
Tax ID
260734207
Effective Date
12/15/2016
Last Updated
12/20/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2408 East University Drive
Auburn, AL 36830
United States
County
Lee
Phone
3342754636 (Phone)
Billing Details
Address
430 Innovation Drive
Blairsville, PA 157178096
Billing Phone
7243434060
Specialty Type
Physical Therapy
Map
Address