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Wylie
Hayes
RPT
Contract Details
PT Solutions of East Montgomery
Facility name
Provider ID
P000009381
NPI
1477108751
Tax ID
202210884
Effective Date
8/1/2019
Last Updated
8/13/2019
Direct Contract
Yes
Status
Active
W9 Attachment
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
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