Sharon  B  Young    RPT
Contract Details
Spine and Rehab Solutions, LLC
Facility name
Provider ID
P000001920
NPI
1396705281
Tax ID
464406613
Effective Date
6/29/2017
Last Updated
6/30/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
820 S University Blvd Suite 1A
Mobile, AL 36609
United States
County
Mobile
Phone
2513017066 (Phone)
Billing Details
Address
820 S University Blvd
Suite 1A
Mobile, AL 36609
Billing Phone
2513017066
Specialty Type
Physical Therapy
Map
Address