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Christopher
Ireland
RPT
Contract Details
PT Solutions of East Montgomery
Facility name
Provider ID
P000009290
NPI
1487054235
Tax ID
202210884
Effective Date
10/1/2017
Last Updated
1/7/2019
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
7061 Halcyon Summit Drive
Montgomery, AL 36117
United States
County
Montgomery
Phone
3343962110
(
Phone
)
Billing Details
Address
7061 Halcyon Summit Drive
Montgomery, AL 36117
Billing Phone
3343962110
Specialty Type
Physical Therapy
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Address