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Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
1962677021
NPI
1962677021
Tax ID
300714977
Effective Date
12/1/2019
Last Updated
1/3/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4500 Montevallo Road Suite B108
Birmingham, AL 35210
United States
Phone
2059570870 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address