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Contract Details
Sparks Physical Therpy
Facility name
Provider ID
P000000001
NPI
1750145504
Tax ID
844073491
Effective Date
2/16/2024
Last Updated
2/22/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3102 Rainbow Drive
Rainbow City, AL 35906
United States
Phone
256-546-8127 (Phone)
Billing Details
Address
3102 Rainbow Drive
Rainbow City, AL 35906
Billing Phone
256-546-8127
Specialty Type
Physical Therapy
Map
Address