Emmett  L  Parker    RPT
Contract Details
Fysical Therapy and Balance Centers
Facility name
Provider ID
P000001318
NPI
1992761597
Tax ID
200334591
Effective Date
11/2/2017
Last Updated
11/7/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
331 Chelsea Corners Way Suite 101
Chelsea, AL 35043
United States
County
Shelby
Phone
2056785035 (Phone)
Billing Details
Address
331 Chelsea Corners Way
Suite 101
Chelsea, AL 35043
Billing Phone
2056785035
Specialty Type
Physical Therapy
Map
Address