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Contract Details
Facility name
BenchMark Physical Therapy
Provider ID
P000000001
Tax ID
300714977
Effective Date
12/1/2016
Last Updated
6/7/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3947 Gulf Shores Parkway Suite 260
Gulf Shores, AL 36542
United States
Phone
251-943-0803
(
Phone
)
Billing Details
Address
3947 Gulf Shores Parkway
Suite 260
Gulf Shores, AL 36542
Billing Phone
251-943-0803
Specialty Type
Physical Therapy
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Address