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Rebecca
Carter
RPT
Contract Details
Drayer Physical Therapy
Facility name
Provider ID
P000000001
NPI
1942032412
Tax ID
463273842
Effective Date
8/27/2024
Last Updated
8/28/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3102 Rainbow Drive
Rainbow City, AL 35906
United States
Phone
256-549-6387
(
Phone
)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
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Address