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Contract Details
TherapySouth
Facility name
Provider ID
P000000001
NPI
1730247834
Tax ID
834585792
Effective Date
1/1/2019
Last Updated
2/9/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
465 George Wallace Drive
Gadsden, AL 35903
United States
Phone
256-439-1550 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
256-736-9926
Specialty Type
Occupational Therapy
Website
Visit Website
Map
Address