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Courtney
Sprinkle
RPT
Contract Details
PT Solutions
Facility name
Provider ID
P000009418
NPI
1386290088
Tax ID
202210884
Effective Date
9/20/2019
Last Updated
9/27/2019
Direct Contract
Yes
Status
Active
W9 Attachment
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