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Glenn
Walker
RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1902908882
Tax ID
352585937
Effective Date
3/8/2023
Last Updated
3/9/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
301 Huntley Pkwy
Pelham, AL 35124
United States
Phone
205-564-9117
(
Phone
)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
360-296-2222
Specialty Type
Physical Therapy
Map
Address