Contract Details
Facility name
Drayer Physical Therapy Institute
Provider ID
P000007191
NPI
1861712267
Tax ID
753050291
Effective Date
12/1/2010
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
5/31/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
561 Main Street Suite 119
Gardendale, AL 35071
United States
County
Jefferson
Phone
2056083113 (Phone)
Billing Details
Address
561 Main Street
Suite 119
Gardendale, AL 35071
Billing Phone
2056083113
Specialty Type
Physical Therapy
Map
Address