Catherine  L  Devening    RPT
Contract Details
BenchMark Physical Therapy of Alabama
Facility name
Provider ID
P000000001
NPI
1417986183
Tax ID
300714977
Effective Date
7/13/2020
Last Updated
7/14/2020
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
Hoover, AL 35244
United States
Phone
205-403-8701 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address