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Lee
H
Dressler
RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1265025738
Tax ID
352585937
Effective Date
2/22/2021
Last Updated
2/22/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1877 Cherokee Avenue SW
Cullman, AL 35055
United States
Phone
256-727-1701
(
Phone
)
Fax
256-841-3142
Billing Details
Address
4947 Paysphere Circle
Chicago, IL 60674
Billing Phone
630-296-2222
Specialty Type
Physical Therapy
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Address