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Contract Details
PT Solutions of East Montgomery
Facility name
Provider ID
P000008974
NPI
1750808135
Tax ID
270202352
Effective Date
1/1/2019
Last Updated
1/22/2019
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
Physical Therapy
Map
Address