Michael    Gray    RPT
Contract Details
PT Solutions of East Montgomery
Facility name
Provider ID
P000009306
NPI
1578017315
Tax ID
202210884
Effective Date
8/30/2010
Last Updated
8/10/2020
Direct Contract
Yes
Term Date
2/7/2019
Status
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
Map
Address