Contract Details
Facility name
Drayer Physical Therapy Institute
Provider ID
P000007192
NPI
1841539574
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
42445 Highway 195 East
Haleyville, AL 35565
United States
County
Winston
Phone
2054868811 (Phone)
Billing Details
Address
42445 Highway 195 East
Haleyville, AL 35565
Billing Phone
2054868811
Specialty Type
Physical Therapy
Map
Address