Julie    Kellen    RPT
Contract Details
HealthActions
Facility name
Provider ID
P000000001
NPI
1366400954
Tax ID
630815380
Effective Date
3/23/2023
Last Updated
3/24/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
25910 Canal Road Suite P
Orange Beach, AL 36561
United States
Phone
251-981-7778 (Phone)
Billing Details
Address
1711 College Avenue
Jackson, AL 36545
Billing Phone
251-981-7778
Specialty Type
Physical Therapy
Map
Address