Emily    Collum    RPT
Contract Details
Renew Physiotherapy
Facility name
Provider ID
P000000001
NPI
1457986143
Tax ID
830643688
Effective Date
7/13/2018
Last Updated
7/31/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
3480 Spring Hill Avenue
Mobile, AL 36608
United States
Phone
251-589-6642 (Phone)
Billing Details
Address
3480 Spring Hill Avenue
Mobile, AL 36608
Billing Phone
251-589-6642
Specialty Type
Physical Therapy
Map
Address