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Scott
Johnson
RPT
Contract Details
J & H Physical Therapy
Facility name
Provider ID
P000000001
NPI
1306916630
Tax ID
522368011
Effective Date
2/2/2021
Last Updated
9/19/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
4240 Balmoral Drive Suite 100
Huntsville, AL 35801
United States
Phone
256-678-9969
(
Phone
)
Billing Details
Address
4240 Balmoral Drive
Suite 100
Huntsville, AL 35801
Billing Phone
256-678-9969
Specialty Type
Physical Therapy
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