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Andrew
Blake
RPT
Contract Details
Results Physiotherapy
Facility name
Provider ID
P000000001
NPI
1629766464
Tax ID
371349655
Effective Date
7/1/2024
Last Updated
9/30/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2344 Schillinger Road South Suite 1B
Mobile, AL 36695
United States
Phone
251-301-9812
(
Phone
)
Billing Details
Address
2344 Schillinger Road South
Suite 1B
Mobile, AL 36695
Billing Phone
251-301-9812
Specialty Type
Physical Therapy
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Address