Contract Details
Ancillary Care Services
Facility name
Aspen Rehabilitation
Provider ID
P000004139
NPI
1265433791
Tax ID
061660863
Effective Date
4/1/2012
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
9900 West Sample Road Suite 102
Coral Springs, FL 33065
United States
County
Broward
Phone
9543417875 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Physical Therapy
Map
Address