Ira  L  Blondheim    RPT
Contract Details
PT Solutions of East Montgomery
Facility name
Provider ID
P000007111
NPI
1982662870
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
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