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Sarah
Williams
RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1912361353
Tax ID
300714977
Effective Date
8/15/2022
Last Updated
8/16/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3947 Gulf Shores Parkway Suite 260
Gulf Shores, AL 36542
United States
Phone
251-943-0803
(
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
llarkey@urpt.com
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