Alesha  P  Walker    RPT
Contract Details
BenchMark Physical Therapy of Alabama, LLC
Facility name
Provider ID
P000008274
NPI
1154593820
Tax ID
300714977
Effective Date
12/30/2016
Last Updated
1/3/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3947 Gulf Shores Pkwy Suite 260
Gulf Shores, AL 365422729
United States
County
Baldwin
Phone
2519430803 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 373636511
Billing Phone
8005781104
Specialty Type
Physical Therapy
Map
Address