Contract Details
Advance Therapy & Performance
Facility name
Advance Therapy & Performance
Provider ID
P000009082
Tax ID
200289863
Effective Date
2/9/2018
Last Updated
2/16/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
805 East Lee Street Suite B
Enterprise, AL 36330
United States
County
Coffee
Phone
3343473508 (Phone)
Billing Details
Address
805 East Lee Street
Suite B
Enterprise, AL 36330
Billing Phone
3343473508
Specialty Type
Occupational Therapy Facility
Map
Address