Member Login
Home
About Us
Become a Provider
Become a Member
Administrators
Contact Us
Member Login
Amanda
Dixon
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
1083656649
Tax ID
300714977
Effective Date
10/17/2016
Last Updated
2/14/2020
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
7721 Airport Blvd. Suite E120
Mobile, AL 36608
United States
Phone
2516313680
(
Phone
)
Billing Details
Address
7721 Airport Blvd.
Suite E120
Mobile, AL 36608
Billing Phone
2516313680
Specialty Type
Occupational Therapy Facility