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Richard
Foster
RPT
Contract Details
Benchmark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1942990262
Tax ID
300714977
Effective Date
5/15/2023
Last Updated
5/17/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
100 N Florida Street Suite 31
Mobile, AL 36607
United States
Phone
251-300-8874
(
Phone
)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Workers Comp Coordinator
workcomp@urpt.com
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Address