Todd    Malone    RPT
Contract Details
Star Physical Therapy
Facility name
Provider ID
P000000001
NPI
1851654222
Tax ID
455535169
Effective Date
7/25/2023
Last Updated
8/16/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1035 W Fort Williams Street
Sylacauga, AL 35150
United States
Phone
256-249-4701 (Phone)
Billing Details
Address
1035 W Fort Williams Street
Sylacauga, AL 35150
Billing Phone
256-249-4701
Specialty Type
Physical Therapy
Website
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Map
Address