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Amanda
Leon
RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1659642916
Tax ID
300714977
Effective Date
7/3/2023
Last Updated
7/20/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
356 Hollywood Blvd
Homewood, AL 35209
United States
Phone
205-855-0101
(
Phone
)
Fax
205-413-4964
Billing Details
Address
356 Hollywood Blvd
Homewood, AL 35209
Billing Phone
205-855-0101
Specialty Type
Physical Therapy
Workers Comp Coordinator
Lauren
Larkey
423-803-9155
llarkey@urpt.com
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