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RPT
Contract Details
Results Physical Therapy
Facility name
Provider ID
P000000001
NPI
1821807827
Tax ID
371349655
Effective Date
1/6/2025
Last Updated
1/7/2025
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4601 Whitesburg Drive Suite 102
Huntsville, AL 35802
United States
Phone
256-883-1734
(
Phone
)
Billing Details
Address
4601 Whitesburg Drive
Suite 102
Huntsville, AL 35802
Billing Phone
256-883-1734
Specialty Type
Physical Therapy
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Address