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Mary
Kreger
RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1487239398
Tax ID
300714977
Effective Date
3/15/2021
Last Updated
3/18/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1910 28th Avenue South Suite 104
Homewood, AL 35209
United States
Phone
2052022273
(
Phone
)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
Workers Comp Coordinator
workcomp@urpt.com
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Address