David    Cameron    RPT
Contract Details
TherapySouth Tuscaloosa
Facility name
Provider ID
P000009235
NPI
1154751972
Tax ID
830729229
Effective Date
9/4/2018
Last Updated
10/11/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1520 McFarland Blvd Suite A
Tuscaloosa, AL 35401
United States
County
Tuscaloosa
Phone
2054627520 (Phone)
Billing Details
Address
1520 McFarland Blvd
Suite A
Tuscaloosa, AL 35401
Billing Phone
2054627520
Specialty Type
Physical Therapy
Map
Address