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Matthew
Homan
RPT
Contract Details
Encore Rehabilitation
Facility name
Provider ID
P000000001
NPI
1588117196
Tax ID
631225408
Effective Date
1/1/2021
Last Updated
3/30/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2020 Canyon Road Suite 200
Vestavia Hills, AL 35216
United States
Phone
205-354-2442
(
Phone
)
Billing Details
Address
2020 Canyon Road
Suite 200
Decatur, AL 35803
Billing Phone
256-926-9954
Specialty Type
Physical Therapy
Workers Comp Coordinator
Elisabeth
Bernier
ebernier@encorerehab.com
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Address