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Elizabeth
Smith
RPT
Contract Details
Drayer Physical Therapy
Facility name
Provider ID
P000000001
NPI
1003426057
Tax ID
463273842
Effective Date
11/4/2024
Last Updated
12/2/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2801 Allison Bonnett Memorial Drive
Hueytown, AL 35023
United States
Phone
205-545-9905
(
Phone
)
Billing Details
Address
2801 Allison Bonnett Memorial Drive
Hueytown, AL 35023
Billing Phone
205-545-9905
Specialty Type
Physical Therapy
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Address