Soniya    Patel    RPT
Contract Details
Drayer Physical Therapy
Facility name
Provider ID
P000000001
NPI
1902296825
Tax ID
463273842
Effective Date
10/10/2024
Last Updated
10/22/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2703 Legends Parkway
Prattville, AL 36066
United States
Phone
334-380-4930 (Phone)
Billing Details
Address
2703 Legends Parkway
Prattville, AL 36066
Billing Phone
334-380-4930
Specialty Type
Physical Therapy
Map
Address