Address: 1713 Montgomery Hwy S Suite 131, Hoover, 35244, United States
Telephone: 205-403-8701

Mia Barraza RPT

Contract Details

BenchMark Physical Therapy

Facility name

Provider ID

P000000001

NPI

1588370654

Tax ID

300714977

Effective Date

1/26/2023

Last Updated

2/6/2023

Direct Contract

Yes

Status

Active

Contract Discounts

Discount Type

State Fee Schedule Multiplier

85.00

Location Details

Address

1713 Montgomery Hwy S Suite 131

Hoover, AL 35244

United States

Phone

205-403-8701 (Phone)

Fax

Billing Details

Address

6397 Lee Hwy

Suite 300

Chattanooga, TN 37421

Billing Phone

Specialty Type

Physical Therapy

Map