Charlene    McNeill    OTR
Contract Details
OrthoSports Associates, LLC
Facility name
Provider ID
P000000001
NPI
1194816181
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/12/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
5850 Valley Road Suite 110
Birmingham, AL 35235
United States
Phone
205-838-3090 (Phone)
Billing Details
Address
5850 Valley Road
Suite 110
Birmingham, AL 35235
Billing Phone
205-939-0447
Specialty Type
Physical Therapy
Map
Address