Ashley    Sprayberry    RPT
Contract Details
Gulf Coast Therapy
Facility name
Provider ID
P000008557
NPI
1417978321
Tax ID
631057933
Effective Date
10/9/2019
Last Updated
10/22/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
21040 Miflin Road Suite 1
Foley, AL 36535
United States
County
Baldwin
Phone
2519230888 (Phone)
Billing Details
Address
21040 Miflin Road
Suite 1
Foley, AL 36535
Billing Phone
2519230888
Specialty Type
Physical Therapy
Map
Address