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Jazma
Dobbins
RPT
Contract Details
Gadsden Pelvic Rehab and Physical Therapy
Facility name
Provider ID
P000000001
Tax ID
882046350
Effective Date
6/28/2022
Last Updated
7/8/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
500 South 5th Street
Gadsden, AL 35901
United States
Phone
256-212-0032
(
Phone
)
Billing Details
Address
500 South 5th Street
Gadsden, AL 35901
Billing Phone
256-212-0032
Specialty Type
Physical Therapy
Workers Comp Coordinator
Jazma
Dobbins
256-212-0032
jazma@gadsdenpelvicrehab.com
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