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Shane
O'Brennan
RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1518741073
Tax ID
352585937
Effective Date
1/17/2025
Last Updated
1/21/2025
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
41 Eminence Way Suite B
Pell City, AL 35128
United States
Phone
205-813-6009
(
Phone
)
Billing Details
Address
41 Eminence Way
Suite B
Pell City, AL 35128
Billing Phone
205-813-6009
Specialty Type
Physical Therapy
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Address