Susan    Denham    OTR
Contract Details
PT Solutions of East Montgomery
Facility name
Provider ID
P000009267
NPI
1114148350
Tax ID
270202352
Effective Date
12/1/2018
Last Updated
12/13/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
7057 Halcyon Summit Drive
Montgomery, AL 36117
United States
County
Montgomery
Phone
3346255809 (Phone)
Billing Details
Address
P.O. Box 242757
Montgomery, AL 36124
Billing Phone
3346255809
Specialty Type
Occupational Therapy
Map
Address