Tracey    Bates    OTR
Contract Details
Results Physical Therapy
Facility name
Provider ID
P000000001
NPI
1912310582
Tax ID
371349655
Effective Date
9/30/2024
Last Updated
9/24/2024
Direct Contract
Yes
Status
Active
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
Occupational Therapy
Map
Address