Contract Details
Align Networks, Inc.
Facility name
Core Principles Physical Therapy
Provider ID
P000003358
NPI
1275828220
Tax ID
043821114
Effective Date
2/2/2012
Last Updated
4/12/2018
Direct Contract
No
Term Date
8/22/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
809 South Alabama Avenue
Monroeville, AL 36460
United States
County
Monroe
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
Specialty Type
Physical Therapy
Map
Address