Contract Details
Align Networks, Inc.
Facility name
Active Physical Therapy
Provider ID
P000003588
Tax ID
043821114
Effective Date
4/2/2012
Last Updated
4/12/2018
Direct Contract
No
Term Date
4/9/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2424 Danville Road Suite M
Decatur, AL 35603
United States
County
Morgan
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address