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Margaret
Maciuba
RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1639659089
Tax ID
300714977
Effective Date
7/19/2021
Last Updated
7/27/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1506 N McKenzie Street Suite 109
Foley, AL 36535
United States
Phone
251-923-5590
(
Phone
)
Fax
251-923-5592
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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