Joshua    Rocha   
Contract Details
BenchMark Physical Therapy of Alabama
Facility name
Provider ID
1194364653
NPI
1194364653
Tax ID
300714977
Effective Date
1/3/2020
Last Updated
1/3/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1713 Montgomery Hwy S Suite 131
Birmingham, AL 35244
United States
Phone
2054038701 (Phone)
Billing Details
Address
1713 Montgomery Hwy S
Suite 131
Birmingham, AL 35244
Billing Phone
2054038701
Specialty Type
Physical Therapy
Map
Address