Daniel    Mayhan    RPT
Contract Details
PT Solutions of East Montgomery
Facility name
Provider ID
P000009291
NPI
1407810765
Tax ID
202210884
Effective Date
8/30/2010
Last Updated
2/1/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2972 Carter Hill Road
Montgomery, AL 36116
United States
County
Montgomery
Phone
3342888358 (Phone)
Billing Details
Address
2972 Carter Hill Road
Montgomery, AL 36116
Billing Phone
3342888358
Specialty Type
Physical Therapy
Map
Address