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Merrell
Ponder
Contract Details
PT Solutions Physical Therapy
Facility name
Provider ID
1598095432
Tax ID
202210884
Effective Date
1/23/2020
Last Updated
2/18/2020
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
7061 Halcyon Summit Drive
Montgomery, AL 36117
United States
Phone
3343962110
(
Phone
)
Billing Details
Address
1100 Circle 75 Parkway
Suite 1400
Atlanta, GA 30339
Billing Phone
678-981-3543
Specialty Type
Physical Therapy
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Address