Lesley    Parrish    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000009116
NPI
1619990686
Tax ID
352585937
Effective Date
3/19/2018
Last Updated
4/11/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
833 St. Vincent's Drive Unit 1, Suite 1
Birmingham, AL 35205
United States
County
Jefferson
Phone
2057303190 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address