Christina    Stewart    RPT
Contract Details
Gulf Coast Therapy
Facility name
Provider ID
P000008558
NPI
1275967861
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
9890 Twin Beech Road
Fairhope, AL 36532
United States
County
Baldwin
Phone
2519287312 (Phone)
Billing Details
Address
9890 Twin Beech Road
Fairhope, AL 36532
Billing Phone
2519287312
Specialty Type
Physical Therapy
Map
Address