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Lori
Brown Pressley
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1013115484
Tax ID
270039366
Effective Date
2/1/2021
Last Updated
2/8/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1706 Highway 129 S Suite B
Cleveland, GA 30528
United States
Phone
7062194507
(
Phone
)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
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Address