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Kaylee
Johnston
RPT
Contract Details
Results Physiotherapy
Facility name
Provider ID
P000000001
NPI
1093557241
Tax ID
371349655
Effective Date
8/5/2024
Last Updated
8/14/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3654 Airport Blvd Suite H
Mobile, AL 36608
United States
Phone
251-544-1050
(
Phone
)
Billing Details
Address
3654 Airport Blvd
Suite H
Mobile, AL 36608
Billing Phone
251-544-1050
Specialty Type
Physical Therapy
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