Contract Details
Aldridge Physical Therapy, LLC
Facility name
Aldridge Physical Therapy, LLC
Provider ID
P000008533
NPI
1760673586
Tax ID
260734207
Effective Date
6/1/2018
Last Updated
7/31/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1615 Windsor Hill Court
Montgomery, AL 36106
United States
County
Montgomery
Phone
3342399316 (Phone)
Billing Details
Address
430 Innovation Drive
Blairsville, PA 15717
Billing Phone
7243434060
Specialty Type
Physical Therapy
Map
Address