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Contract Details
Facility name
BenchMark Physical Therapy
Provider ID
P000000001
NPI
1659642916
Tax ID
300714977
Effective Date
2/1/2021
Last Updated
2/12/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2900 E University Drive Suite 130
Auburn, AL 36830
United States
Phone
334-209-0996
(
Phone
)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
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