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Sophia
Fuller
RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1366933541
Tax ID
300714977
Effective Date
9/22/2021
Last Updated
9/27/2021
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
)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Workers Comp Coordinator
Lauren
Larkey
800-348-0900
workcomp@urpt.com
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Address