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Vincent
J
Stephens
RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1659961415
Tax ID
300714977
Effective Date
8/10/2020
Last Updated
3/29/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2659 Valleydale Road
Hoover, AL 35244
United States
Phone
205-905-6922
(
Phone
)
Fax
205-876-8104
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
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