Brent    Hall    OTR
Contract Details
Hall Therapy Services, LLC
Facility name
Provider ID
P000008540
NPI
1982641908
Tax ID
271865863
Effective Date
12/22/2016
Last Updated
12/22/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
3656 Government Blvd. Suite F
Mobile, AL 366934305
United States
County
Mobile
Phone
2513006666 (Phone)
Billing Details
Address
3656 Government Blvd.
Suite F
Mobile, AL 366934305
Billing Phone
2513006666
Specialty Type
Occupational Therapy
Map
Address