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Taryn
Thor
RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1124638234
Tax ID
300714977
Effective Date
9/21/2020
Last Updated
9/21/2020
Direct Contract
Yes
Status
Active
W9 Attachment
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
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
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Address