Courtney    George    RPT
Contract Details
Chilton County Physical Therapy
Facility name
Provider ID
P000000001
NPI
1952935611
Tax ID
455315496
Effective Date
2/17/2023
Last Updated
3/2/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
2030 Lay Dam Road
Clanton, AL 35045
United States
Phone
205-755-6110 (Phone)
Billing Details
Address
2030 Lay Dam Road
Clanton, AL 35045
Billing Phone
205-755-6110
Specialty Type
Physical Therapy
Map
Address